Understanding Ovarian Cysts: Endometrioma vs. Dermoid Cysts
Ovarian cysts frequently present during routine ultrasound evaluations. An endometrioma (chocolate cyst) results from menstrual tissue adhering to the ovary, while dermoid cysts contain benign embryonic tissues. The critical challenge in both cases is removing the cyst wall completely without burning or removing healthy ovarian follicles that determine ovarian reserve.
Why Excessive Electrosurgery Drops Your AMH (Anti-Müllerian Hormone)
Bipolar electrocautery applied inside the ovarian bed can induce thermal injury to adjacent primordial follicles, causing an irreversible drop in AMH levels. Dr. Sonu Singh emphasizes microscopic cold scissors dissection, gentle hydro-dissection, and hemostatic sealants rather than aggressive cauterization.
“Every primordial follicle saved is a future chance at motherhood. Surgical precision in cyst stripping must prioritize AMH conservation above everything else.”
About Dr. Sonu Singh
Dr. Sonu Singh is a Senior Consultant Gynaecologist and European-trained Minimal Access Surgeon in Lucknow with over 14+ years of clinical excellence. She completed advanced fellowships in Verona, Italy, and Bordeaux, France, specializing in nerve-sparing endometriosis excision, fertility preservation, and complex gynaecological laparoscopy.
Clinic: Gomti Nagar, Lucknow
