Anti Müllerian Hormone (AMH) Level as Ovarian Reserve Marker before and after Cystectomy Laparotomy

Abstract

Objective: To investigate the comparison of the Anti-Mullerian Hormone (AMH) as the ovarian reserve marker before and after cystectomy. Methods: This study used prospective cohort design which included all women with the ovarian cyst who underwent cystectomy laparotomy. The subjects were examined AMH level before and after the procedure. Data were analyzed using one- way Anova, T- paired test, and T-independent test with p value <0.05 considered significantly. Results: We obtained 40 subjects consisting of 21 women (52.5%) suffering endometriosis cyst, 12 women (30.0%) suffering functional cyst, and 7 others (17.5%) suffering dermoid cyst. After the cystectomy, AMH level was different between endometriosis cyst and non-endometriosis cyst patients; whereas, the endometriosis cyst group showed greater decrease of AMH level (p<0.05). The mean AMH level in the cyst women before cystectomy laparotomy was 2.9 (SD 0.4) ng/ml and after the surgery, the mean value became 1.9 (SD 0.6) ng/ml. Conclusion: The decrease of AMH level is significant in the endometrial ovarian cyst women who undergo the cystectomy. [Indones J Obstet Gynecol 2017; 5-1: 30-34] Keywords: Anti Müllerian Hormone, laparotomy, ovarian cystectomy, ovarian reserve