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Título: | Impact of Surgical Management of Endometrioma on AMH Levels and Pregnancy Rates: A Review of Recent Literature | Autor: | Pais, Ana Sofia Flagothier, Clara Tebache, Linda Almeida Santos, Teresa Nisolle, Michelle |
Palavras-chave: | endometriosis; endometrioma surgery; ovarian reserve; anti-Müllerian hormone; spontaneous pregnancy | Data: | 22-Jan-2021 | Editora: | MDPI | Título da revista, periódico, livro ou evento: | Journal of Clinical Medicine | Volume: | 10 | Número: | 3 | Resumo: | Ovarian endometrioma are found in up to 40% of women with endometriosis and 50% of infertile women. The best surgical approach for endometrioma and its impact on pregnancy rates is still controversial. Therefore, we conducted a literature review on surgical management of ovarian endometrioma and its impact on pregnancy rates and ovarian reserve, assessed by anti-Müllerian hormone (AMH) serum levels. Ovarian cystectomy is the preferred technique, as it is associated with lower recurrence and higher spontaneous pregnancy rate. However, ablative approaches and combined techniques are becoming more popular as ovarian reserve is less affected and there are slightly higher pregnancy rates. Preoperative AMH level might be useful to predict the occurrence of pregnancy. In conclusion, AMH should be included in the preoperative evaluation of reproductive aged women with endometriosis. The surgical options for ovarian endometrioma should be individualized. The endometrioma ablation procedure seems to be the most promising treatment. | URI: | https://hdl.handle.net/10316/104854 | ISSN: | 2077-0383 | DOI: | 10.3390/jcm10030414 | Direitos: | openAccess |
Aparece nas coleções: | FMUC Medicina - Artigos em Revistas Internacionais I&D ICBR - Artigos em Revistas Internacionais I&D CIBB - Artigos em Revistas Internacionais |
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