Principal findings
As demonstrated in the Results section, our study found no significant difference in long-term follow-up of postoperative AMH and AFC levels between the two groups when focusing on benign ovarian cysts. In contrast, the significant difference in postoperative AMH and AFC between the two groups is consistent with previous systemic reviews13, 28 for patients with endometrioma. Such findings favor using nonthermal hemostatic methods over electrocoagulation using bipolar current when considering ovarian reserve for patients with endometrioma. However, this benefit is reduced for other benign ovarian cysts. The findings might prove that nonthermal hemostatic methods are less destructive in maintaining the cortical blood supply in the residual ovaries and retaining the ovarian function during laparoscopic ovarian cystectomy for endometrioma.