Effect Of Chocolate Cyst Of Ovary On Ovarian Reserve Function

Objective: Study on the effect of chocolate cyst of ovary on ovarian reserve function by AMH,which can accurately represent ovarian reserve function.Methods: From January 2018 to July 2018,40 patients with chocolate cyst of ovary undergoing laparoscopic surgery in Baoding first Central Hospital were selected as observation group.20 patients with other benign ovarian cysts and 20 infertile women were used as control group.and they were divided by different ages into 12 cases aging20-25 years old.9 cases aging 26-30 years old,12 cases aging 31-35 years old and 7 cases aging 36-39 years old.T test and ANOVA were used to compare the difference of serum AMH among the three groups,and to explore whether chocolate cyst of ovary affected ovarian reserve function and whether unilateral and bilateral cysts had different effect on ovarian reserve function.Pearson correlation analysis was used to explore whether the size of chocolate cyst of ovary affected the level of serum AMH.Results: 1.Comparison of serum AMH between the same age group,chocolate cyst of ovary group and other benign ovarian mass group and infertility group.In the 20-25 years old group,the serum AMH values were 1.52±0.25 in the chocolate cyst of ovary group,3.44±0.22 in the other benign ovarian masses group,3.58±0.24 in the infertile group.The serum AMH levels before operation in the chocolate cyst of ovary group were lower than those in the two groups(P<0.05);In other age groups,the serum AMH levels before operation in the chocolate cyst of ovary group were lower than those in the two groups(P<0.05),There was no significant difference in serum AMH levels between other benign ovarian masses and the infertile control women in all age groups.(P>0.05).2.The Comparison of serum AMH values in different age groups The serum levels of AMH were 3.58±0.24 in the 20-25 years old group,3.28±0.24 in the 26-30 years old group,2.86±0.23 in the 31-35 years old group,2.34±0.22 in the 36-40 years old group.There was a significant difference in the serum AMH of each age group between the infertile group and the infertile group.With the increase of age,the level of AMH decreased gradually.3.Comparison of serum AMH levels in patients with chocolate cyst of ovary of different size.The size of chocolate cyst of ovary had no significant correlation with the size of cyst.The pearson correlation analysis showed that there was no significant correlation between the level of AMH and the size of cyst.It could be concluded that the level of AMH had no correlation with the size of cyst.4.Comparison of bilateral chocolate cyst of ovary and unilateral chocolate cyst of ovary group.There were 19 cases in unilateral chocolate cyst of ovary group,the mean value of serum AMH was 1.63±0.15,the mean value of serum AMH was 1.27±0.25 in 21 cases of bilateral chocolate cyst of ovary,and the value of serum AMH was compared between the two groups.The serum AMH level of bilateral chocolate cyst of ovary group was lower than that of unilateral group,and there was a significant difference between the two sides of chocolate cyst of ovary group(P<0.05).Conclusion: 1.The serum levels of AMH in chocolate cyst of ovary were lower than those in other ovarian benign mass group and infertility group.The chocolate cyst of ovary had a negative effect on ovarian reserve function,which resulted in the decrease of ovarian reserve function.Ultimately affect the outcome of pregnancy.2.With the increase of age,the level of serum AMH decreased gradually.3.There was no significant difference between the size of chocolate cyst of ovary and ovarian reserve function.4.The effect of bilateral chocolate cyst of ovary on ovarian reserve function is greater than that of unilateral chocolate cyst of ovary.