Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome
Objective: To determine the effectiveness and safety of laparoscopic ovarian drilling (LOD) in inducing ovulation in women with polycystic ovary syndrome (PCOS) who failed to conceive after medical methods of ovulation induction. Materials and Methods: A retrospective study of all women who und...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2015-02-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/5586/8001_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
| _version_ | 1818431186433736704 |
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| author | Niraj K Yanamandra Sirisha Rao Gundabattula |
| author_facet | Niraj K Yanamandra Sirisha Rao Gundabattula |
| author_sort | Niraj K Yanamandra |
| collection | DOAJ |
| description | Objective: To determine the effectiveness and safety of
laparoscopic ovarian drilling (LOD) in inducing ovulation in
women with polycystic ovary syndrome (PCOS) who failed to
conceive after medical methods of ovulation induction.
Materials and Methods: A retrospective study of all women
who underwent LOD as a treatment for anovulatory infertility
between January 2010 and December 2011 was conducted.
Women diagnosed to have PCOS by the Rotterdam criteria
were considered for the study. Those who had PCOS but
were associated with male factor infertility, deep infiltrating
endometriosis and submucous fibroids were excluded.
Results: A total of 43 women underwent LOD during the study
period. Majority were aged 26 to 30 years and two-thirds were
overweight or obese. Most (72%) of them had primary infertility.
Other factors which could have contributed to infertility such
as superficial endometriosis, septate uterus and unilateral tubal
block were observed in 30.2% of the women, which were dealt
with concomitantly. When we excluded the 14% who were lost
to follow up, 23 of 43 (53.5%) women achieved pregnancy and
almost 70% of them did so within the first 6 months. None of
our study population had ovarian hyperstimulation or multiple
pregnancy.
Conclusion: LOD thus not only helps in regulating ovulation and
enhancing conception rates but also provides an opportunity to
assess the pelvis for other potential causes of subfertility which
could be treated at the same time. We therefore believe that
diagnostic hysteroscopy and laparoscopy should be offered
quite high-up in the hierarchy of infertility investigations and
treatment. |
| first_indexed | 2024-12-14T15:45:18Z |
| format | Article |
| id | doaj.art-4504cea3ac8e443b97f73f9cd22d8a54 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-14T15:45:18Z |
| publishDate | 2015-02-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-4504cea3ac8e443b97f73f9cd22d8a542022-12-21T22:55:31ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2015-02-0192QC01QC0310.7860/JCDR/2015/8001.5586Outcome of Ovarian Drilling in Women with Polycystic Ovary SyndromeNiraj K Yanamandra0Sirisha Rao Gundabattula1Consultant, Minimal Access Surgeon, Fernandez Hospital, Abids, Hyderabad (AP), India.Consultant, Department of Gynaecology, Fernandez Hospital, Abids, Hyderabad, India.Objective: To determine the effectiveness and safety of laparoscopic ovarian drilling (LOD) in inducing ovulation in women with polycystic ovary syndrome (PCOS) who failed to conceive after medical methods of ovulation induction. Materials and Methods: A retrospective study of all women who underwent LOD as a treatment for anovulatory infertility between January 2010 and December 2011 was conducted. Women diagnosed to have PCOS by the Rotterdam criteria were considered for the study. Those who had PCOS but were associated with male factor infertility, deep infiltrating endometriosis and submucous fibroids were excluded. Results: A total of 43 women underwent LOD during the study period. Majority were aged 26 to 30 years and two-thirds were overweight or obese. Most (72%) of them had primary infertility. Other factors which could have contributed to infertility such as superficial endometriosis, septate uterus and unilateral tubal block were observed in 30.2% of the women, which were dealt with concomitantly. When we excluded the 14% who were lost to follow up, 23 of 43 (53.5%) women achieved pregnancy and almost 70% of them did so within the first 6 months. None of our study population had ovarian hyperstimulation or multiple pregnancy. Conclusion: LOD thus not only helps in regulating ovulation and enhancing conception rates but also provides an opportunity to assess the pelvis for other potential causes of subfertility which could be treated at the same time. We therefore believe that diagnostic hysteroscopy and laparoscopy should be offered quite high-up in the hierarchy of infertility investigations and treatment.https://jcdr.net/articles/PDF/5586/8001_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PF2(PAG).pdfanovulationinfertilitylaparoscopic ovarian drillingpolycystic ovarian syndrome |
| spellingShingle | Niraj K Yanamandra Sirisha Rao Gundabattula Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome Journal of Clinical and Diagnostic Research anovulation infertility laparoscopic ovarian drilling polycystic ovarian syndrome |
| title | Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome |
| title_full | Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome |
| title_fullStr | Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome |
| title_full_unstemmed | Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome |
| title_short | Outcome of Ovarian Drilling in Women with Polycystic Ovary Syndrome |
| title_sort | outcome of ovarian drilling in women with polycystic ovary syndrome |
| topic | anovulation infertility laparoscopic ovarian drilling polycystic ovarian syndrome |
| url | https://jcdr.net/articles/PDF/5586/8001_CE(Ra)_F(Sh)_PF1(PAK)_PFA(AK)_PF2(PAG).pdf |
| work_keys_str_mv | AT nirajkyanamandra outcomeofovariandrillinginwomenwithpolycysticovarysyndrome AT sirisharaogundabattula outcomeofovariandrillinginwomenwithpolycysticovarysyndrome |