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Description

Ovarian endometriomas per se impair ovarian reserve, as evidenced by decreased serum anti-Mllerian hormone (AMH) levels, reduced antral follicle count (AFC), and histopathological findings of decreased follicular density and vascular abnormalities in the ovarian cortex surrounding these cysts, with up to 16% of cases exhibiting complete absence of follicles

Morphologically, it is mainly characterized by mitochondrial atrophy, increased membrane density and decreased or absent mitochondrial cristae

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