Does Endometriosis Affect the Value of the Anti-mullerian Hormone (AMH)?
UPDATED ON 16 MAR. 2022
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Dr Jay Mehta
Scientific Director & IVF Specialist with 10+ years of experience
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Endometriosis is a painful condition in which tissue that looks like the lining of your uterus grows outside of it. The ovaries, fallopian tubes, and pelvic tissue are all affected by endometriosis. The granulosa cells produce anti-Mullerian hormone or AMH in your ovarian follicles.
The production of AMH reflects your ovarian reserve (egg count). You’re born with a basket full of eggs, which gets used up over your lifetime. An AMH test tells you your egg count. This article will focus on the effect of endometriosis on AMH value.
Where does endometriosis take place?
Endometriosis can be found in a variety of places.
- To begin with, the bulk of endometriosis enlargement occurs on the ovaries, which is referred to as a chocolate cyst. Because it inhibits the passage of menstrual blood, this development is known as a chocolate cyst. As a result, the blood color shifts from red to brown.
- Secondly, endometrial expansion occurs behind the uterus (rectum tube).
- Third, endometrial enlargement in the vaginal canal creates great discomfort during sexual activity, and the fallopian tubes are the fourth organ.
- Endometriosis has two major consequences: Pain & Infertility.
What is an AMH blood test?
Anti-mullerian hormone, or AMH, is a laboratory test used by gynaecologists and fertility specialists to determine a woman’s ovarian reserve or egg count. The tiny follicles in a woman’s ovaries create this hormone. AMH value is considered low if the count is less than 1.5. The normal range is 1- 4 for the AMH value.
What is Laparoscopic surgery?
If the size of a chocolate cyst is more than 4 cm, doctors suggest laparoscopy surgery.
Laparoscopy is a procedure for examining and removing implants and scar tissue from the pelvic organs. Severe endometriosis and scar tissue suspected of interfering with internal organs create a problem in conceiving. The chocolate cyst is evacuated during this procedure to save the ovaries.
A small portion of the ovaries is usually damaged during this procedure, potentially lowering AMH levels. Patients’ AMH readings are recorded before and after surgery for 4-6 months.
Some things to keep in mind
It is essential to remove the entire ovary if cysts are present in both ovaries. Doctors also propose removing the ovaries if they have been destroyed inside due to endometriosis.
Make sure you go to a reputable and skilled gynaecologist because this procedure is vital. If this operation is vital for you, don’t wait too long to execute it.
If a patient has deep endometriosis, it is necessary to remove the endometriosis. The couple is encouraged to undertake IVF therapy if the lady has Grade 4 endometriosis, the most advanced form of endometriosis. There is a compelling argument that IVF is the only way to conceive.
The majority of people assume that a natural pregnancy is all they seek. Even if they have grade 4 (deep endometriosis), they want to get pregnant naturally. They must carefully study their situation with a doctor to get a realistic checkpoint.
Patients with Grade 2 or 3 endometriosis can continue to pursue natural methods of conception or IUI treatment after the endometriosis surgery goes successfully. After this surgery, the changes are positively visible.
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Conclusion
Please look at your AMF values. AMH is a test that assesses ovarian reserve and can help women feel better about their ovarian reserve, especially if they wish to put off raising a family. It can also assess fertility in women with a little ovarian reserve who should not wait to conceive a family.
When used in conjunction with other diagnostic criteria, the AMH test can assist determine how a woman will react to stimulation medicines. Predicting the Ovarian response before treatment allows clinicians to make an educated decision regarding the treatment protocol, which impacts the cycle’s success.
For more information regarding endometriosis and AMH, contact our team of experts today! At Shree IVF clinic, we offer the best endometriosis treatment in Mumbai.
AUTHOR
Dr Jay Mehta
Scientific Director & IVF Specialist with 10+ years of experience
TREATMENT
CONDITION
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