Open AccessLaparoscopic ovarian drilling: An alternative but not the ultimate in the management of polycystic ovary syndrome
Author(s) -
Subarna Mitra,
Prasant Nayak,
Sarita Agrawal
Publication year - 2015
Publication title -
journal of natural science, biology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.236
H-Index - 30
eISSN - 2229-7707
pISSN - 0976-9668
DOI - 10.4103/0976-9668.149076
Subject(s) - polycystic ovary , anovulation , ovarian hyperstimulation syndrome , medicine , ovulation induction , gynecology , ovulation , ovary , pregnancy , fertility , infertility , obstetrics , in vitro fertilisation , biology , hormone , population , insulin , insulin resistance , environmental health , genetics
Since its introduction in 1984, laparoscopic ovarian drilling has evolved into a safe and effective surgical treatment for anovulatory, infertile women with polycystic ovary syndrome (PCOS), unresponsive to clomiphene citrate. It is as effective as gonadotropins in terms of pregnancy and live birth rates, but without the risks of ovarian hyperstimulation syndrome and multiple pregnancies. It improves ovarian responsiveness to successive ovulation induction agents. Its favorable reproductive and endocrinal effects are sustained long. Despite its advantages, its use in unselected cases of PCOS or for non-fertility indications is not prudent owing to the potential risks of iatrogenic adhesions and ovarian insufficiency.