Removal of unilateral endometriomas is associated with immediate and sustained reduction in ovarian reserve.

@article{Urman2013RemovalOU,
  title={Removal of unilateral endometriomas is associated with immediate and sustained reduction in ovarian reserve.},
  author={Bulent Urman and Ebru Alper and Kayhan Yakın and Ozgur Oktem and Senai Aksoy and Cengiz Alataş and Ramazan Mercan and Barış Ata},
  journal={Reproductive biomedicine online},
  year={2013},
  volume={27 2},
  pages={
          212-6
        }
}
Endometrioma and ovarian reserve: effects of endometriomata per se and its surgical treatment on the ovarian reserve
TLDR
Bipolar diathermy seems to be the most harmful hemostatic method to ovarian reserve and its use should be cautiously minimized.
Modern Management of Endometrioma-Associated Infertility: in Favor of ART
TLDR
How surgical resection of an endometriotic cyst affects ovarian reserve, ovarian response after stimulation and ART outcome is described and careful consideration of patient symptoms as well as her age and ovarian reserve will help to select patients that require surgery prior to ART.
AMH trend after laparoscopic cystectomy and ovarian suturing in patients with endometriomas
TLDR
The changes of the AMH and FSH values suggest that the ovarian reserve is obviously reduced in spite of suturing technology used as a method of hemostasis after stripping ovarian endometriomas, especially in those with bilateral cysts.
Impact of endometriomas and their removal on ovarian reserve
  • B. Ata, G. Uncu
  • Medicine
    Current opinion in obstetrics & gynecology
  • 2015
TLDR
It seems prudent to warn patients regarding loss of ovarian reserve following endometrioma excision, and surgeons should cautiously limit the use of cauterization following stripping of endometioma.
Surgery for endometriomas within the context of infertility treatment.
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References

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Endometrioma excision and ovarian reserve: a dangerous relation.
Rate of severe ovarian damage following surgery for endometriomas.
TLDR
Severe ovarian damage, occurring in gonads operated on for ovarian endometriomas, is not a rare event and the main outcome measure was the rate of ovaries remaining silent when stimulated after surgery for endometiomas.
Damage to ovarian reserve associated with laparoscopic excision of endometriomas: a quantitative rather than a qualitative injury.
Antimullerian hormone levels after laparoscopic endometrioma stripping surgery
TLDR
Laroscopic endometrioma stripping surgery do not appear to cause a damage in the AMH secreting healthy ovarian tissue, in the short-term follow-up, and pre- and post-operative AMH levels do not reveal a correlation with the size of endometioma in both group of patients with either unilateral or bilateral endometRIoma.
The post-operative decline in serum anti-Mullerian hormone correlates with the bilaterality and severity of endometriosis.
TLDR
The results suggest that the decrease in ovarian reserve should be taken into account in patients indicated for cystectomy for bilateral endometriomas or unilateral endometRIoma with high rASRM scores.
The impact of excision of ovarian endometrioma on ovarian reserve: a systematic review and meta-analysis.
TLDR
A negative impact of excision of endometriomas on ovarian reserve is suggested as evidenced by a significant postoperative fall in circulating AMH.
Direct proportional relationship between endometrioma size and ovarian parenchyma inadvertently removed during cystectomy, and its implication on the management of enlarged endometriomas.
TLDR
Endometrioma cystectomy even though performed with an accurate surgical technique leads to significant ovarian tissue removal, the thickness of which increases proportionally with cyst diameter.
Does laparoscopic excision of endometriotic ovarian cysts significantly affect ovarian reserve? Insights from IVF cycles.
TLDR
Excision of endometriotic ovarian cysts is associated with a significant reduction in ovarian reserve and further studies are required to clarify whether the damage is related to the surgical procedure or to the previous presence of a cyst.
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