Prevention of Infertility in Surgical Treatment of Endometriosis with Monitoring of AMH Values

Introduction: Endometriosis is a disease defined as the presence of endometrium outside the uterine cavity. The cause of endometriosis is multifactorial. An appropriate approach to the treatment of the disease affects a woman's chance of conceiving, either spontaneously or with the help of assisted reproduction techniques. Adherence to the principles of appropriate treatment is how to prevent a negative impact on a woman's fertility.Research sample group and aim of the research: 109 female respondents with fertility disorders from the private gynae-cological outpatient clinic Zagyn s.r.o. from the Michalovce district were included in the research. The respondents' ages were between 18 and 50 years with an average age of 30.89 years (SD = 5.21); marital status was not decisive. The data were obtained through a clinical study and from the medical documentation of the observed women. The aim of the research was to find optimal criteria and procedures that lead to the prevention of infertility in the treatment of endo-metriosis.Methods: For evaluation, we used descriptive statistics and the Chi-square test. The values of continuous variables be-tween two groups were analysed by a t-test for 2 independent sets, or between several groups by ANOVA analysis.Results: Using logistic regression models we examined the associations of the type of treatment and the type of medical treatment with 5 dichotomized variables of success of concep-tion and delivery. However, we confirmed only one statistical-ly significant association. Women who received medical treat-ment alone were 2.6 times more likely to conceive naturally and deliver than women who received combined treatment (logistic regression, OR=2.60, confidence interval: 1.11-6.07, p <0.05).Conclusion: Endometriosis can even occur in young patients with the development of menarche. Early diagnosis and prop-er treatment are the way to prevent the infertility caused by this disease. Excision of endometriotic cysts does not improve the pregnancy rate or embryo quality. For women with recur-rent endometriomas who have already undergone a previous surgery, IVF is a more successful option than another surgery.