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The effect of two different laparoscopic methods on ovarian reserve as determined by antimullerian hormone(AMH), antral follicle count (AFC) and ovarian volume, in patients with ovarian endometrioma. Randomized prospective study done in tertiary education and research hospital (Shatby Alexandria university hospital) on one hundred patients presenting with ovarian endometrioma , AMH,AFC and ovarian volumes determined before and after laparoscopic surgery( postoperative first month, three months and sixth months); for two groups (Group1)cystectomy(stripping) and(Group2) bipolar coagulation performed randomly using closed envelope . The main concern was assessment of ovarian reserve damage as determined by AMH, AFC and ovarian volume, and comparing the AMH values with AMH nomogram. The results shows that, the decreases in AMH, AFC and ovarian volume were found for both coagulation and cystectomy, but the decrease was statistically significantly more frequent in cystectomized ovaries than in coagulated ovaries. Although this decrease AMH level still in normal percentile (25-50)as plotted to AMH nomogram (Nelson. AMH age nomogram).

Assessment of the Ovarian Reserve Before and After Laparoscopic Surgery Using Two Different Techniques for Ovarian Endometrioma