Ahmed A. Mohamed
The impact of excision of benign nonendometriotic ovarian cysts on ovarian reserve: a systematic review
Mohamed, Ahmed A.; Al-Hussaini, Tarek K.; Fathalla, Mohamed M.; El Shamy, Tarek T.; Abdelaal, Ibrahim I.; Amer, Saad A.
Tarek K. Al-Hussaini
Mohamed M. Fathalla
Tarek T. El Shamy
Ibrahim I. Abdelaal
SAAD AMER firstname.lastname@example.org
Clinical Associate Professor
Benign nonendometriotic ovarian cysts are very common and often require surgical excision. However, there has been a growing concern over the possible damaging effect of this surgery on ovarian reserve.
The aim of this metaanalysis was to investigate the impact of excision of benign nonendometriotic ovarian cysts on ovarian reserve as determined by serum anti-Müllerian hormone level.
MEDLINE, Scopus, ScienceDirect, and Embase were searched electronically.
All prospective and retrospective cohort studies as well as randomized trials that analyzed changes of serum anti-Müllerian hormone concentrations after excision of benign nonendometriotic cysts were eligible. Twenty-five studies were identified, of which 10 were included in this analysis.
Two reviewers performed the data extraction independently.
A pooled analysis of 367 patients showed a statistically significant decline in serum anti-Müllerian hormone concentration after ovarian cystectomy (weighted mean difference, –1.14 ng/mL; 95% confidence interval, –1.36 to –0.92; I2 = 43%). Subgroup analysis including studies with a 3-month follow-up, studies using Gen II anti-Müllerian hormone assay and studies using IOT anti-Müllerian hormone assay improved heterogeneity and still showed significant postoperative decline of circulating anti-Müllerian hormone (weighted mean difference, –1.44 [95% confidence interval, –1.71 to –1.1; I2 = 0%], –0.88 [95% confidence interval, –1.71 to –0.04; I2 = 0%], and –1.56 [95% confidence interval, –2.44 to –0.69; I2 = 22%], respectively). Sensitivity analysis including studies with low risk of bias and excluding studies with possible confounding factors still showed a significant decline in circulating anti-Müllerian hormone.
Excision of benign nonendometriotic ovarian cyst(s) seems to result in a marked reduction of circulating anti-Müllerian hormone. It remains to be established whether this reflects a real compromise to ovarian reserve.
Mohamed, A. A., Al-Hussaini, T. K., Fathalla, M. M., El Shamy, T. T., Abdelaal, I. I., & Amer, S. A. (2016). The impact of excision of benign nonendometriotic ovarian cysts on ovarian reserve: a systematic review. American Journal of Obstetrics and Gynecology, 215(2), https://doi.org/10.1016/j.ajog.2016.03.045
|Journal Article Type||Article|
|Acceptance Date||Mar 28, 2016|
|Online Publication Date||Apr 5, 2016|
|Publication Date||Aug 31, 2016|
|Deposit Date||Jul 17, 2017|
|Publicly Available Date||Jul 17, 2017|
|Journal||American Journal of Obstetrics and Gynecology|
|Peer Reviewed||Peer Reviewed|
|Keywords||Anti-Müllerian hormone, Benign ovarian cysts, Ovarian cystectomy, Ovarian reserve|
|Copyright Statement||Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf|
Mohamed_Amer 2016_AJOG_Accepted manuscript.pdf
Copyright information regarding this work can be found at the following address: http://eprints.nottingham.ac.uk/end_user_agreement.pdf