Evaluation of Ovarian Reserve in Infertile Women with Minimal/Mild Endometriosis
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- Category: Vol. 82, December 2014
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Evaluation of Ovarian Reserve in Infertile Women with Minimal/Mild Endometriosis, AHMED E.H. ELBOHOTY, AHMED A. THARWAT, IBRAHIM ZWIEL, MOHAMED I.M. AMER and SANAA E. MOHAMED
Abstract
Aim: To evaluate the ovarian reserve in infertile women with minimal to mild degrees of endometriosis in comparison to infertile women with tubal factor.
Methods: In a case-control study was run at Ain Shams University Maternity Hospital, 40 infertile patients, undergoing laparoscopy were divided into 2 groups Group A: Patients with minimal or mild endometriosis (Stage I or II) (n=20). Group B: Patients with tubal factor without endometriosis (n=20). The outcome Measures were serum FSH, E2, anti-Mullerian hormone (AMH), and the antral follicular count (AFC).
Results: The number of antral follicles, follicles <8mm in diameter and the AMH level were significantly lower in endometriosis group in comparison to the control group. There was no statistically difference regarding E2 or FSH.
Conclusions: The ovarian reserve is decreased in minimal to mild endometriosis which is demonstrated by measuring AMH and AFC. This finding needs further investigation.