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Ovarian Drilling in PCOS: is it really useful!?

By ISSAM eLEBBI, Riadh eBen Temime, Anis eFadhlaoui and Anis eFeki

Abstract

Polycystic ovary syndrome (PCOS) is a frequent disorder, affecting approximately 5 to 10 % of infertile women. It can represent more than 80% of cases of infertility due to anovulation. The main goal of treatment is the induction of mono-ovulatory cycles. A pragmatic management of infertility in PCOS will allow most patients to conceive.Weight loss and clomiphene citrate (CC) are the first-line components of patients treatment before gonadotropins are used. However, during gonadotropin administration, there is a high risk of ovarian hyper-stimulation (OHSS) and multiple pregnancies. So, surgery with laparoscopic ovarian drilling (LOD) is often used before gonadotropins in order to obtain normal ovulatory cycles

Topics: Anovulation, Polycystic Ovary Syndrome, Ovarian drilling, ovarian infertility, laparoscopic drilling, Surgery, RD1-811
Publisher: Frontiers Media S.A.
Year: 2015
DOI identifier: 10.3389/fsurg.2015.00030
OAI identifier: oai:doaj.org/article:706e3f7d024740e1a95b05d8c90369c1
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