Abstract:

Ovarian endometrioma is a common problem in gynaecological pathology, especially in female infertility surgery. Adequate surgical treatment of endometriomas has long been debated and continues to be a controversial topic.(1) The aim of the paper is to evaluate the impact of laparoscopic surgical treatment of endometriomas on the ovarian reserve. The inclusion criteria were patients of reproductive age, symptomatic (infertility, pain), primary unilateral or bilateral endometriomas, the size of the endometriomas to be between 3 cm and 8 cm. The mean diameter of the endometriomas was 4.5 cm. There was a decrease of 0,65 ng/ml in the level of Anti Mulerian Hormone (AMH) at 6 months after surgery compared to the initial values. There was also a 1.4 IU / ml increase in Foliculo-Stimulator Hormone (FSH) levels 6 months after surgery compared to presurgery values. Cystectomy is preferable to drainage or stripping and laser coagulation because it has the lowest frequency of recurrence

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