Compare the impact of hemostatic techniques (bipolar coagulation versus laparoscopic suture versus hemostatic matrix) during laparoscopic surgery for ovarian endometrioma on the ovarian follicular reserve Pregnancy and Childbirth Ovarian endometrioma on the ovarian follicular reserve
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 18 to 40 years old 2. Regular menstrual cycle (21 to 35 days) 3. Unilateral ovarian cyst suggestive of endometrioma, measuring 3 to 7 cm, on ultrasound 4. Endometrioma and indication of laparoscopic surgery for cyst removal due to pelvic pain, infertility or cyst persistence
Exclusion criteria
Exclusion criteria: 1. Previous ovarian surgery 2. Endocrine dysfunction (diabetes, thyroid disorders, hyperprolactinemia, adrenal disease, polycystic ovary syndrome) 3. Use of hormones in the past 3 months 4. Suspected ovarian malignant tumor requiring oophorectomy 5. History of chemotherapy or radiotherapy 6. Coagulation disorders 7. Pregnancy 8. Autoimmune disease 9. Severe endometriosis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Anti-Mullerian hormone (AMH) measurement before surgery (1 month before surgery) and 1, 3 and 6 months after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Follicle-stimulating hormone (FSH) FSH measurement before surgery (1 month before surgery) and 1, 3 and 6 months after surgery Ultrasound antral follicle count before surgery (1 month before surgery) and 1, 3 and 6 months after surgery | — |
Countries
Brazil