الفهرس 
Endometriosis
Workup¶prior¶to¶the¶studyOnly 14 pages are availabe for public view
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Abstract
Objectives: To assess AFC, AMH, FSH and Doppler blood flow before and after treatment of endometriotic cyst either by aspiration, stripping, de-roofing and bed cauterization. Introduction: Endometriosis is the presence of endometrial glands and stroma outside the uterine cavity affecting mostly women of reproductive age. The disease is usually manifested with pelvic pain, dysmenorrhea, and infertility. The prevalence is found to be 7%–10%, but among infertile women it increases up to 50%
Patients and methods: The present study was conducted upon 99 women with endomeriotic ovarian cyst with size less than or equal 5 cm with age between 18-35 years old.
They were divided into 3 equal groups: group A underwent laparoscopic ovarian endometrial cyst aspiration, group B underwent laparoscopic ovarian endometrial cyst stripping and finally group C underwent laparoscopic ovarian endometrial cyst de-roofing with bed cauterization.
Results: As regard ovarian reserve markers (AMH, AFC and FSH), there was a significant difference between pre and post-operative value in all markers in all groups, except the pre and post-operative value of serum AMH in group A, denoting that no significant effect of aspiration on ovarian reserve.
As regard doppler there was a significant decrease between pre and post-operative blood flow in group B and C with little decrease in blood flow in group A.
Conclusion: In infertile woman with ovarian endometrioma ovarian reserve is better with laparoscopic ovarian aspiration rather than laparoscopic ovarian endometrial cyst stripping. and laparoscopic ovarian de-roofing and bed cauterization, as measured by serum AMH, AFC, FSH and doppler as evident from the current study and the previously published studies.
Abbreviations: AFC = Antral Follicular Count, AMH = Anti Mullerian Hormone, FSH = Follicles Stimulating Factor