Endometrioma-related reduction in ovarian reserve (ERROR): a prospective longitudinal study.

Abstract:

OBJECTIVE:To evaluate whether endometrioma is associated with a progressive decline in ovarian reserve, and to compare the rate of decline with natural decline in ovarian reserve. DESIGN:Prospective, observational study. SETTING:Tertiary university hospital, endometriosis clinic. PATIENT(S):Forty women with endometrioma and 40 age-matched healthy controls. INTERVENTION(S):Women with endometriomas who did not need hormonal/surgical treatment at the time of recruitment and were expectantly managed. Controls were age-matched, healthy women. All participants underwent serum antimüllerian hormone (AMH) testing twice, 6 months apart. Sexually active patients with endometrioma also underwent antral follicle count. MAIN OUTCOME MEASURE(S):Change in serum AMH levels. RESULT(S):Median (25th-75th percentile) serum AMH level at recruitment was 2.83 (0.70-4.96) ng/mL in the endometrioma group and 4.42 (2.26-5.57) ng/mL in the control group. The median percent decline in serum AMH level was 26.4% (11.36%-55.41%) in the endometrioma group and 7.4% (-11.98%, 29.33%) in the control groups. Twenty-two women with endometrioma who had antral follicle count (AFC) had median AFC of 10 (8-12) at recruitment and 8 (6.3-10) at 6 months. CONCLUSION(S):Women with endometrioma experience a progressive decline in serum AMH levels, which is faster than that in healthy women. CLINICAL TRIAL REGISTRATION NUMBER:NCT02438735.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Kasapoglu I,Ata B,Uyaniklar O,Seyhan A,Orhan A,Yildiz Oguz S,Uncu G

doi

10.1016/j.fertnstert.2018.03.015

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

122-127

issue

1

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(18)30268-1

journal_volume

110

pub_type

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