Influence of Laparoscopic Endometrioma Stripping Surgery on Serum Anti-mullerian Hormone Levels
Impact of Laparoscopic Endometrioma Stripping Surgery on Fertility: Pre- Operative and Post- Operative Changes of Serum Anti-mullerian Hormone Levels
1 other identifier
observational
100
1 country
3
Brief Summary
To compare changes in follicular ovarian reserve in women before and six months after laparoscopic operation: endometrioma stripping surgery. Also, to compare follicular ovarian reserve in women with endometrioma(s) with follicular ovarian reserve of healthy infertile women of the same age group.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started May 2014
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2014
CompletedFirst Submitted
Initial submission to the registry
November 1, 2014
CompletedFirst Posted
Study publicly available on registry
November 7, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2015
CompletedNovember 7, 2014
November 1, 2014
1.4 years
November 1, 2014
November 6, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (5)
Change of follicle-stimulating hormone (FSH)
as the endocrine marker of ovarian reserve
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Change of estradiol (E2) levels
as the endocrine marker of ovarian reserve
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Change of Anti-mullerian hormone (AMH) levels
as the endocrine marker of ovarian reserve
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Change of Inhibin B levels
as the endocrine marker of ovarian reserve
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Change of antral follicular count (AFC)
as the US marker of ovarian reserve
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Secondary Outcomes (2)
Change of CA -125 levels
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Change of interleukin-6 (IL-6) levels
2nd to 5th day of the cycle in which laparoscopy is performed and 2nd to 5th day of the cycle in 6th month after laparoscopy
Eligibility Criteria
study group: patients with diagnosed endometrioma(s) in one ovary or in both ovaries, in reproductive years, otherwise healthy
You may qualify if:
- Age: 18- 42 years of age
- Regular menstrual cycles defined as cycle length between 25- 35 days
- Ultrasound made diagnosis of endometrioma unilateral or bilateral ≥4 cm in diameter.
- Laparoscopically and histologically confirmed diagnosis.
- Agreement to be enrolled in the study
- Control group: Healthy reproductive aged women with tubal, unexplained or male infertility.
You may not qualify if:
- Previous ovarian surgery
- Suspicious of malignancy
- Known endocrine disorder or other chronic diseases.
- Use of oral contraceptive drug, gonadotropin- releasing hormone (GnRH) agonist/ antagonist, or other drugs related with ovarian function in at least 3 months before surgery.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
General Hospital of Subotica
Subotica, Vojvodina, 24000, Serbia
CCSerbia, Clinic for Gynecology and Obstetrics, School of Medicine, University of Belgrade
Belgrade, 11000, Serbia
Department of Laboratory Medicine ''Konzilijum''
Belgrade, 11000, Serbia
Related Publications (6)
Jadoul P, Kitajima M, Donnez O, Squifflet J, Donnez J. Surgical treatment of ovarian endometriomas: state of the art? Fertil Steril. 2012 Sep;98(3):556-63. doi: 10.1016/j.fertnstert.2012.06.023. Epub 2012 Jul 3.
PMID: 22763094BACKGROUNDKitajima M, Defrere S, Dolmans MM, Colette S, Squifflet J, Van Langendonckt A, Donnez J. Endometriomas as a possible cause of reduced ovarian reserve in women with endometriosis. Fertil Steril. 2011 Sep;96(3):685-91. doi: 10.1016/j.fertnstert.2011.06.064. Epub 2011 Jul 29.
PMID: 21802672BACKGROUNDMuzii L, Di Tucci C, Di Feliciantonio M, Marchetti C, Perniola G, Panici PB. The effect of surgery for endometrioma on ovarian reserve evaluated by antral follicle count: a systematic review and meta-analysis. Hum Reprod. 2014 Oct 10;29(10):2190-8. doi: 10.1093/humrep/deu199. Epub 2014 Aug 1.
PMID: 25085800BACKGROUNDRaffi F, Metwally M, Amer S. The impact of excision of ovarian endometrioma on ovarian reserve: a systematic review and meta-analysis. J Clin Endocrinol Metab. 2012 Sep;97(9):3146-54. doi: 10.1210/jc.2012-1558. Epub 2012 Jun 20.
PMID: 22723324BACKGROUNDSomigliana E, Berlanda N, Benaglia L, Vigano P, Vercellini P, Fedele L. Surgical excision of endometriomas and ovarian reserve: a systematic review on serum antimullerian hormone level modifications. Fertil Steril. 2012 Dec;98(6):1531-8. doi: 10.1016/j.fertnstert.2012.08.009. Epub 2012 Sep 10.
PMID: 22975114BACKGROUNDHart RJ, Hickey M, Maouris P, Buckett W. Excisional surgery versus ablative surgery for ovarian endometriomata. Cochrane Database Syst Rev. 2008 Apr 16;(2):CD004992. doi: 10.1002/14651858.CD004992.pub3.
PMID: 18425908BACKGROUND
Biospecimen
The endometrioma specimens that will be obtained from operation will be submitted for pathology examination
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Svetlana S Spremovic-Radjenovic, Professor
CCSerbia, School of Medicine, University of Belgrade
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Gynecology and Obstetrics
Study Record Dates
First Submitted
November 1, 2014
First Posted
November 7, 2014
Study Start
May 1, 2014
Primary Completion
October 1, 2015
Study Completion
December 1, 2015
Last Updated
November 7, 2014
Record last verified: 2014-11