THE SERUM LEVELS OF ANTI-MÜLLERIAN HORMONE BEFORE AND AFTER ENUCLEATION OF THE ENDOMETRIOID CYST

There is a controvercy in the scientific literature concerning the benefits of the enucleation of the endometroid cysts with respect to the treatment of infertility in ednometrioma sufferers. Some authors claim, that the laparoscopic surgical intervention leads to the reduction of the ovarian reserve. In particular, authors report on the decrease in the level of the serum anti-Müllerian hormone (AMH) after surgical intervention. Some other authors, however, did not find the long-lasting change in AMH after the surgical intervention. There are some study limitations such as an age hetrogeneity of patients under observation. To extent the data in this direction, we measured the level of the serum AMH before laparoscopic enucleation of the endometroid cyst and one month after the surgical intervention in the group of 21 patients with ovarian endometroid cyst, aged 32 - 32.4 yrs. The rate of pregnancy was calculated during the 1 year of the postoperative follow-up. Increase in the postoperative level of the serum AMH was found in 10 (47.6%) patients out of the 21. In 4 (19%) patients the serum level of the AMH was found decreased. No change in the serum AMH level was found in 7 patients (33.4%). Data statistical analysis did not confirm the significance of the change in the postoperative level of the serum AML. The rate of pregnancy during the one year of postoperative follow up was 8 (38.10%). We suggest that laparoscopic endometroid cystectomy does not cause the reduction of the ovarian reserve and promotes the physiological process of oogenesis.