OVARIAN RESERVE AND ITS ASSESSMENT IN PATIENTS WITH ENDOMETRIOMA

Endometriosis is a chronic inflammatory disease that affects a significant number of women of reproductive age. One of the most common manifestations of endometriosis is ovarian endometrioma, a cystic lesion of the ovary filled with altered blood products. The presence of endometrioma has been associated with impaired fertility and a reduction in ovarian reserve. Ovarian reserve represents the functional capacity of the ovary and reflects both the quantity and quality of the remaining follicles. The evaluation of ovarian reserve in patients with endometrioma is essential for predicting reproductive potential, selecting appropriate treatment strategies, and determining the prognosis of assisted reproductive technologies. This review article discusses the mechanisms by which endometrioma affects ovarian reserve and the main clinical and laboratory methods used to assess ovarian reserve.