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Abstract
The Long-Term Impact of Excision of Benign Non-Endometriotic Ovarian Cysts on Ovarian Reserve and Reproductive Performance: A Cohort Study Long-Term Ovarian Reserve Status After Ovarian Cystectomy
Highlights
Ovarian cystectomy is a very common procedure in gynaecological practice
To the best of our knowledge, this is the first study on the long-term impact of ovarian cystectomy on ovarian reserve and reproductive performance
We found no statistically significant difference in circulating Anti Müllerian Hormone (AMH) and all other ovarian reserve markers between both groups
Summary
Ovarian cystectomy is a very common procedure in gynaecological practice. There has recently been a growing concern that this procedure is associated with a significant compromise to ovarian reserve. Previous research reported that cystectomy was associated with concomitant excision of normal ovarian tissue resulting in significant follicle loss [1,2]. Several recent studies have consistently reported decline in ovarian reserve as measured by circulating Anti Müllerian Hormone (AMH) after excision of benign ovarian cysts [3,4,5,6,7,8,9]. Our recent meta-analysis has shown about 38% decline in circulating AMH after excision of benign non-endometriotic ovarian cysts, which was sustained for up to six months [10].
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