Effects of Ovarian Cyst Types on Ovarian Reserve After Three-Dimensional Laparoscopic Cystectomy
Description
Aim: Our study aims to compare the effect of three-dimensional (3D) laparoscopic ovarian cystectomy on ovarian reserve in terms of different cyst types. Methods: Participants who will be treated surgically for ovarian cysts between 2018 and 2020 were included in our study. The participants' AMH and FSH levels were investigated before and 6 months after the surgery. All surgeries were performed under general anesthesia with a three-dimensional (3D) laparoscopy. After histopathological evaluation, the participants were divided into three groups; Group 1: Endometrioma, Group 2: Mature cystic teratoma (Dermoid cyst), and Group 3: Serous or mucinous cystadenoma. Results: A total of fifty-one women were included in the study. No significant difference was found between the groups in terms of peri-operative findings as operation time, intraoperative blood loss, postoperative hemoglobin decreases, and maximum cyst diameter. There was no significant difference between the groups in terms of pre-operative AMH (p = 0.97) and pre-operative FSH (p = 0.22) values. Post-operative AMH values in endometrioma (p <0.001) and dermoid cyst (p = 0.004) groups were significantly low compared to pre-operative AMH values. Pre- and post-operative AMH reduction was more pronounced in the endometriosis group than in other groups. The post-operative FSH levels in all groups tended to increase compared to pre-operative levels, but the increase did not reach a significant level (p = 0.092). Conclusion: 3D laparoscopic cystectomy to remove endometrioma and dermoid cysts significantly reduces ovarian reserve (OR). Laparoscopic cystectomy for serous-mucinous cysts does not affect OR.