Recently, our group has shown a significant drop in serum AMH levels by 1.65 ng/ml (95% CI: 1.15 to 2.15) and by 2.03 ng/mL (95% CI: 1.47 to 2.58) at 9-12 months postoperatively as compared to baseline in the unilateral and bilateral ovarian endometriotic cystectomy groups, respectively, corresponding to 39% and 57% decline of the functional ovarian reserve following surgery (3). Furthermore, we have shown that AMH is a much more sensitive biomarker than AFC in this setting (7). Since our publication considered studies that employed the stripping technique (3), more conservative and less invasive modalities of endometrioma treatment impact on ovarian reserves, such as ultrasound-guided sclerotherapy or laser vaporization, ought to be further explored (8, 9).
Both the EC and Xpert PCR tests are accurate for detecting GBS carrier, both at 35-37 weeks and at labor onset. We did not detect a significant conversion of the GBS status from negative at 35-37 weeks to positive at onset of labor.
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