Affected Ovary Relative Volume: A Novel Sonographic Predictor of Ovarian Reserve in Patients with Unilateral Endometrioma-A Pilot Study.

antimüllerian hormone antral follicle count endometrioma endometriosis fertility ovarian reserve premature ovarian failure ultrasonography

Journal

Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588

Informations de publication

Date de publication:
17 Dec 2020
Historique:
received: 21 11 2020
revised: 02 12 2020
accepted: 11 12 2020
entrez: 22 12 2020
pubmed: 23 12 2020
medline: 23 12 2020
Statut: epublish

Résumé

The assessment of ovarian reserve in the case of endometrioma is of pivotal importance for planning a tailored management. However, both the antral follicle count (AFC) and the antimüllerian hormone (AMH) dosage are subject to a fair degree of variability in ovarian endometriosis. This study aimed to identify a sonographic parameter of ovarian reserve that could implement current available markers in patients with unilateral endometrioma. Patients with unilateral endometrioma admitted to our Endometriosis Center between March 2018 and April 2019 were enrolled. Transvaginal ultrasonography for the evaluation of eight sonographic indicators and AMH level determination were performed. The relationship between AMH level and each indicator was assessed. Thirty-four women were included. There was a positive significant correlation between AMH level and the healthy ovary AFC (HO-AFC) ( AORV may be a useful tool to assess ovarian reserve in patients with unilateral endometrioma without previous surgery and to guide physicians in clinical management.

Sections du résumé

BACKGROUND BACKGROUND
The assessment of ovarian reserve in the case of endometrioma is of pivotal importance for planning a tailored management. However, both the antral follicle count (AFC) and the antimüllerian hormone (AMH) dosage are subject to a fair degree of variability in ovarian endometriosis. This study aimed to identify a sonographic parameter of ovarian reserve that could implement current available markers in patients with unilateral endometrioma.
METHODS METHODS
Patients with unilateral endometrioma admitted to our Endometriosis Center between March 2018 and April 2019 were enrolled. Transvaginal ultrasonography for the evaluation of eight sonographic indicators and AMH level determination were performed. The relationship between AMH level and each indicator was assessed.
RESULTS RESULTS
Thirty-four women were included. There was a positive significant correlation between AMH level and the healthy ovary AFC (HO-AFC) (
CONCLUSION CONCLUSIONS
AORV may be a useful tool to assess ovarian reserve in patients with unilateral endometrioma without previous surgery and to guide physicians in clinical management.

Identifiants

pubmed: 33348770
pii: jcm9124076
doi: 10.3390/jcm9124076
pmc: PMC7767191
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Stefano Cosma (S)

Gynecology and Obstetrics 1, Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Andrea Roberto Carosso (AR)

Gynecology and Obstetrics 1, Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Martina Moretto (M)

Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Fulvio Borella (F)

Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Domenico Ferraioli (D)

Department of Oncology Surgery, Léon Bérard Comprehensive Cancer Center, 69008 Lyon, France.

Marialuisa Bovetti (M)

Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Fiammetta Gervasoni (F)

Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Claudia Filippini (C)

Department of Oncology Surgery, Léon Bérard Comprehensive Cancer Center, 69008 Lyon, France.

Alberto Revelli (A)

Gynecology and Obstetrics 1, Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Simone Ferrero (S)

Academic Unit of Obstetrics and Gynaecology, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy.

Chiara Benedetto (C)

Gynecology and Obstetrics 1, Department of Surgical Sciences, City of Health and Science, University of Turin, 10126 Turin, Italy.

Classifications MeSH