History of Laparotomy
Another prognostic factor found is presence of history of laparotomy. In our results, laparotomy rate was 54.5% in CC group and 13.5% in ETC group. (p<0.01) and the difference was statistically significant. It’s an ongoing debate whether laparotomy decreases ovarian reserve. There are studies about surgery in endometriosis and results indicate that laparoscopy may have more detrimental effects on ovarian reserve than laparotomy.(18) But adversely; our results indicated that the ovarian reserve was worse in the patients whom operated by laparotomy than laparoscopy. (Table –10) We didn’t know the ovarian reserve of the patients before surgery, so we couldn’t interpret the effect of surgery type on ovarian reserve. Furthermore we didn’t know whether stripping or coagulation were used during endometrioma excision. As the result we may conclude that (excluding contributing factors) presence of laparotomy history has negative impact on ovarian reserve.