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🔹 Today, I performed surgery on a 10 cm endometrioma, commonly known as a chocolate cyst. 🍫 AMH test is a must before endometrioma surgery to assess ovarian reserve. 📊 During cystectomy, the cyst is peeled off like an orange peel 🍊, which can lead to a reduction in AMH levels due to loss of normal ovarian tissue. To minimize AMH drop, we follow advanced laparoscopic techniques: ✅ Injecting vasopressin 💉 ✅ Using minimal cautery to prevent tissue damage 🔥 ✅ Suturing the ovary instead of excessive cautery to restore anatomy 🩺 🔹 AMH reduction after surgery can range from 30% to 50% 📉 and may fluctuate over 3 to 6 months. 🔹 Patients should test AMH before and after surgery, but not immediately—wait at least 3 to 6 months. 🔹 Ovarian reserve and egg count decrease after endometriotic cystectomy, meaning fertility will reduce but not improve. 🔹 That’s why first surgery is the best surgery—precision matters! 🎯 👩⚕ Dr. Aishwarya Parthasarathy Gynecologist & Fertility Specialist MD (OG) (AIIMS, New Delhi), DNB (OG), FNB (Rep. Medicine), MRCOG (UK) 📍 Accumed Speciality Clinic and Scans 📌 Valasarawakkam, Chennai - 87 📞 For appointments: +91-9342521779 📍 Clinic Address: 24, Chowdry Nagar Main Rd, Opp. Vasanthi Dental Hospital, Majestic Colony, Chennai, Tamil Nadu 600087 #chocolatecyst #endometriosisawareness #amhtest #fertilitycare #laparoscopy #endometriomasurgery #cystectomy #ovarianreserve #dr.aishwaryaparthasarathy #accumedclinic