Antimüllerian hormone is reduced in the presence of ovarian endometriomas: a systematic review and meta-analysis
Open accessAbstract
Objective To evaluate if the presence of endometriomas impacts on the ovarian reserve as evaluated with antimüllerian hormone (AMH). Design Systematic review and meta-analysis. Setting Not applicable. Patient(s) Patients with unoperated endometriomas versus controls without endometriomas. Intervention(s) Electronic databases searched up to June 2017 to identify articles evaluating AMH levels in patients with unoperated endometriomas versus controls without endometriomas. Main outcome measure(s) The primary analysis was aimed at evaluation of AMH levels (mean and SD) in patients with and without endometriomas. Secondary analyses were aimed at evaluating AMH levels in patients with ovarian endometriomas compared to patients with either non-endometriosis benign ovarian cysts or healthy ovaries. Result(s) Of the 39 studies evaluated in detail, 17 were included, for a total of 968 patients with endometriomas and 1874 without endometriomas. AMH was significantly lower in patients with unoperated endometriomas compared to patients with no endometriomas (mean difference -0.84, with 95% confidence interval [CI] -1.16 to -0.52). At secondary analyses, AMH in patients with endometriomas was significantly lower both versus non-endometriosis benign ovarian cysts (mean difference -0.85, 95% CI -1.37 to -0.32, and versus women with healthy ovaries (mean difference -0.61, 95% CI -0.99 to -0.24). Conclusion(s) Ovarian reserve evaluated with AMH is reduced in patients with ovarian endometrioma…
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Women with endometriosis demonstrate reduced serum AMH relative to control subjects.
“Women with endometriosis demonstrate reduced serum AMH relative to control subjects (Dong et al., 2019; Kasapoglu et al., 2018; Muzii et al., 2018; Romanski et al., 2019; Sánchez‐Ferrer et al., 2019; Shebl et al., 2009).”
From Endometriosis and polycystic ovary syndrome are diametric disorders (2021) · cites this paper as Muzii et al., 2018
Women with endometriosis who do not undergo surgery also show accelerated declines in AMH levels relative to unaffected women.
“Women with endometriosis treated with ovarian surgery demonstrate an especially steep decline in AMH levels, but women with endometriosis who do not undergo surgery also show accelerated declines in AMH levels relative to unaffected women (Goodman et al., 2016; Kasapoglu et al., 2018; Muzii et al., 2018; Romanski et al., 2019).”
From Endometriosis and polycystic ovary syndrome are diametric disorders (2021) · cites this paper as Muzii et al., 2018
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Raffi, F., Metwally, M., & Amer, S. (2012) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jc.2012-1558 · Cited by 546 · see citing works
Effect of surgery on ovarian reserve in women with endometriomas, endometriosis and controls
Goodman, L. R., Goldberg, J. M., Flyckt, R. L., Gupta, M., Harwalker, J., & Falcone, T. (2016) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2016.05.029 · Cited by 175 · see citing works
Lemos, N. A., Arbo, E., Scalco, R., Weiler, E., Rosa, V., & Cunha-Filho, J. S. (2008) · Fertility and Sterility · doi:10.1016/j.fertnstert.2007.04.048 · Cited by 110 · see citing works
Kwon, S. K., Kim, S. H., Yun, S.-C., Kim, D. Y., Chae, H. D., Kim, C.-H., & Kang, B. M. (2014) · Fertility and Sterility · doi:10.1016/j.fertnstert.2013.10.043 · Cited by 94 · see citing works
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Pathophysiology, diagnosis, and management of endometriosis
Horne, A. W., & Missmer, S. A. (2022) · BMJ · doi:10.1136/bmj-2022-070750 · Cited by 661 · see citing works
Can Endometriosis-Related Oxidative Stress Pave the Way for New Treatment Targets?
Cacciottola, L., Donnez, J., & Dolmans, M.-M. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22137138 · Cited by 118 · see citing works
Endometriosis and polycystic ovary syndrome are diametric disorders
Dinsdale, N. L., & Crespi, B. J. (2021) · Evolutionary Applications · doi:10.1111/eva.13244 · Cited by 90 · see citing works
“…with ovarian surgery demonstrate an especially steep decline in AMH levels, but women with endometriosis who do not undergo surgery also show accelerated declines in AMH levels relative to unaffected women (Goodman et al., 2016; Kasapoglu et al., 2018; Muzii et al., 2018; Romanski et al., 2019).”
BackgroundMuzii, L., Galati, G., Di Tucci, C., Di Feliciantonio, M., Perniola, G., Di Donato, V., Benedetti Panici, P., & Vignali, M. (2020) · Gynecological Endocrinology · doi:10.1080/09513590.2019.1640199 · Cited by 55 · see citing works
Self-citationEffect of Dienogest therapy on the size of the endometrioma
Vignali, M., Belloni, G. M., Pietropaolo, G., Barbasetti Di Prun, A., Barbera, V., Angioni, S., & Pino, I. (2020) · Gynecological Endocrinology · doi:10.1080/09513590.2020.1725965 · Cited by 50 · see citing works
Garitazelaia, A., Rueda-Martínez, A., Arauzo, R., de Miguel, J., Cilleros-Portet, A., Marí, S., Bilbao, J. R., Fernandez-Jimenez, N., & García-Santisteban, I. (2021) · Life · doi:10.3390/life11010024 · Cited by 22 · see citing works
- Authors
- Muzii, L., Di Tucci, C., Di Feliciantonio, M., Galati, G., Di Donato, V., Musella, A., Palaia, I., & Panici, P. B.
- Affiliations
- Sapienza University of Rome (IT)
- Corresponding author
- Muzii, Ludovico
- Venue
- Fertility and Sterility
- Publisher
- Elsevier BV
- Published
- 2018-10
- Volume
- 110
- Issue
- 5
- Pages
- 932-940.e1
- ISSN
- 0015-0282 (ISSN-L)
- OpenAlex
- W2896685552
- Cited by
- 168
- References
- 4
- Citations by year
- 2026: 20 · 2025: 31 · 2024: 24 · 2023: 18 · 2022: 23 · 2021: 24 · 2020: 15 · 2019: 11 · 2018: 2
- FWCI
- 1.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Fertility and Sterility (publishedVersion)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Biology and Fertility
- Keywords
- anti-Müllerian hormone, endometrioma, ovarian reserve, endometriosis, benign ovarian cysts, ovarian function
- MeSH terms
- Endometriosis, Female, Humans, Ovarian Cysts, Prospective Studies, Retrospective Studies, Biomarkers, Randomized Controlled Trials as Topic, Anti-Mullerian Hormone, Ovarian Reserve
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