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Table 4 Factors associated with post-surgical adverse DOR at 6 months after laparoscopic cystectomy

From: Evaluation of factors predicting diminished ovarian reserve before and after laparoscopic cystectomy for ovarian endometriomas: a prospective cohort study

Variables

Univariate analysis

Multivariate analysis

Adverse DOR (n = 38)

Non-adverse DOR (n = 74)

P value

OR (95 % CI)

P value

Patient characteristics

 Age (years)

34.6 ± 5.0 (33.0–36.3)

33.0 ± 4.8 (31.8–34.1)

0.09

  

 Gravidity

0.2 ± 0.6 (0.03–0.5)

0.1 ± 0.4 (0.03–0.2)

0.30

  

 Parity

0.2 ± 0.6 (0.1–0.6)

0.1 ± 0.3 (0–0.2)

0.15

  

 Body mass index (kg/m2)

21.7 ± 4.5 (20.2–23.2)

21.3 ± 5.2 (20.1–22.6)

0.73

  

Laterality of cysts

 Unilateral

15 (39.5)

49 (66.2)

0.007

3.71 (1.45–9.51)

0.006

 Bilateral

23 (60.5)

25 (33.8)

   

 Total size of ovarian cyst (mm)

75.4 ± 32.9 (64.6–86.2)

71.9 ± 24.4 (66.2–77.5)

0.52

  

Pre-surgical serum hormone concentrations

 LH (mIU/mL)

4.7 ± 4.0 (3.4–6.0)

6.9 ± 10.0 (4.6–9.2)

0.18

  

 FSH (mIU/mL)

6.7 ± 2.4 (5.9–7.5)

6.4 ± 3.9 (5.4–7.3)

0.67

  

 Estradiol (pg/mL)

74.1 ± 89.3 (44.8–103.4)

71.4 ± 86.7 (51.3–91.5)

0.88

  

 CA125 (U/mL)

71.3 ± 48.5 (55.4–87.3)

67.6 ± 55.4 (54.8–80.4)

0.72

  

 AMH (ng/mL)

2.5 ± 1.2 (2.1–2.9)

4.8 ± 3.1 (4.0–5.5)

<0.001

0.43 (0.27–0.67)

<0.001

Peri-surgical findings

 Re-ASRM score

61.8 ± 33.7 (50.8–72.9)

48.9 ± 26.3 (42.8–55.0)

0.03

 Total surgical duration (min)

89.8 ± 40.8 (76.4–103.2)

82.8 ± 32.3 (75.3–90.2)

0.32

  

 Total blood loss (mL)

37.4 ± 45.5 (22.5–52.4)

25.4 ± 28.0 (18.9–31.8)

0.09

  
  1. Abbreviations: AMH anti-Müllerian hormone, CA125 cancer antigen 125, CI confidence interval, DOR diminished ovarian reserve, FSH follicle-stimulating hormone, LH luteinising hormone, OR odds ratio, Re-ASRM revised American Society of Reproductive Medicine
  2. Data are expressed as mean ± standard deviation (95 % CI) or number (percentage) of patients