Ovarian Reserve Following Medical Therapy in Patients with Endometriosis

Scientific Institute for Research Hospitalization and Healthcare (IRCCS)

Status: Completed

Conditions: Endometriosis

Study type: Observational

Funder types: Other

Identifiers

NCT06799754

EndoAMH

Details and patient eligibility

About

This study aims to investigate whether there is an effect on ovarian reserve from medical therapy for endometriosis.

Although the therapeutic efficacy of medical hormone therapy on ovarian endometriosis has been proven in many scientific studies, none of these has shown an effect on ovarian reserve.

The aim of this study is to investigate whether there is a difference in ovarian reserve as measured by biochemical and ultrasound parameters before and after therapy.

Full description

Endometriosis is a benign, chronic and recurrent condition characterised by the presence of endometrial glands and stroma outside the uterine cavity. Endometriosis is most frequently localised to the ovary (17 - 44%) and is found in 5-10% of women of childbearing age. In this group of patients, quantification of the ovarian reserve by means of serological and ultrasound markers, in particular antral follicular count (AFC) and blood levels of antimullerian hormone (AMH), is essential. Recent evidence shows that medical hormone therapy, currently the first choice of treatment, affects ovarian endometriosis in terms of volumetric reduction of endometriomas and reduction of local inflammation, but little is known about its effect on ovarian reserve.

Our study therefore aims to evaluate ovarian reserve in terms of AMH and AFC in patients with ovarian endometriosis treated with medical hormone therapy after discontinuation of the latter.

In the clinical trial, patients diagnosed with ovarian endometriosis with an indication for medical therapy undergo 3 blood samples for the determination of antimullerian hormone (AMH) at the same time as 3 medical examinations as per normal care procedure.

Enrollment: 44 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical and ultrasound diagnosis of ovarian endometriosis without indication for surgery
• Age between 18 and 40 years
• Patients desiring pregnancy
• Informed consent obtained

Exclusion criteria

• Endocrinological disorders (including thyroid dysfunction, hyperprolactinaemia and Cushing's syndrome)
• Previous ovarian surgery
• Suspected cyst malignancy