Introduction
Endometriosis, endometriosis, chronic pelvic pain, intraoperative blood loss, Ovarian endometriomas, infertility, ovarian endometrioma
ENDOMETRIOSIS, ENDOMETRIOSIS, DYSMENORRHEA, CAVITY, INTRAOPERATIVE BLOOD LOSS
Endometriosis (EMT) is a common gynecological condition characterized by endometrial tissue outside the uterine cavity resulting in dysmenorrhea, chronic pelvic pain, pelvic masses, and infertility, which can seriously affect a woman’s health and quality of life. Ovarian endometriomas are the most common type of EMT, with a prevalence of 17–44% in patients with endometriosis [Anti-Müllerian hormone (AMH) is produced by the granulosa cells of primary, preantral, and small antral follicles, not primordial ones. Therefore, AMH level indirectly represents the quantity of the ovarian follicle pool, estimated by the number of early growing-stage follicles. Moreover, serum AMH levels appear independent of the menstrual cycle and are unaffected by gonadotropin-releasing hormone (GnRH) agonists or oral contraceptives [Currently, no precise data exist on whether laparoscopic endometrial cystectomy with different menstruation phases reduces the damage to ovarian function, shortens the operation time, reduces intraoperative blood loss, and accelerates patient recovery. Therefore, this study aimed to explore the optimal timing of the first laparoscopic cystectomy in ovarian endometrioma patients with unilateral and evaluate the influence on the patient’s ovarian reserve.