AMH and endometriosis: The presence of ovarian endometriomas appears to adversely affect ovarian reserve markers, such as the anti-Mullerian hormone (AMH) by affecting its production or producing a direct effect not yet known.6In addition, large endometriomas can interfere with ovarian vascularization, and the treatment of endometriosis often requires surgery, particularly in patients with ovarian cysts and deep endometriosis.