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Ovarian cysts are a frequent finding in reproductive-aged women. Compared to laparotomy, laparoscopic cystectomy is increasingly gaining acceptance for ovarian cystectomy1, but there is still no consensus on which approach is better regarding ovarian reserve2. Objective: To determine and compare the impact of the approach of ovarian cystectomy whether laparoscopic or open on ovarian reserve parameters. Methodology: This prospective randomized study was conducted on 40 patients of reproductive age (range, 18–35 years) with benign ovarian cysts who underwent either laparoscopic ovarian cystectomy (n=20) or open ovarian cystectomy(n=20). Serum anti-Müllerian hormone (AMH), antral follicle count (AFC), and follicular stimulating hormone (FSH)were measured preoperatively and 3 months postoperatively in all patients. Results: Serum AMH decreased significantly at 3 months postoperatively in both laparoscopic and open ovarian cystectomy groups. The AFC increased significantly at 3 months postoperatively in both laparoscopic and open ovarian cystectomy groups. On the other hand, no significant difference in FSH was found between the preoperative and 3 months postoperative levels in both groups. Conclusion: No significant difference was found between both approaches of ovarian cystectomy whether laparoscopic or open regarding the change in ovarian reserve parameters postoperatively.

The Impact of Laparoscopic Versus Open Ovarian Cystectomy on Ovarian reserve