IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME
Polycystic ovary syndrom (PCOS) is characterized by infertility, oligomenorrhea, and hyperandrogenism. Clomiphene citrate (CC), an antiestrogen, is first-line treatment for PCOS, if CC fails to induce ovulation, laparascopic electrocautery of the ovaries is offered. In this prospective controlled st...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2008-06-01
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| Series: | Acta Medica Iranica |
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| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/8830.pdf&manuscript_id=8830 |
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| author | L. Safdarian L. Eslamian M. Adineh M. Aghahoseini A. Aleyasin H. Saidi |
| author_facet | L. Safdarian L. Eslamian M. Adineh M. Aghahoseini A. Aleyasin H. Saidi |
| author_sort | L. Safdarian |
| collection | DOAJ |
| description | Polycystic ovary syndrom (PCOS) is characterized by infertility, oligomenorrhea, and hyperandrogenism. Clomiphene citrate (CC), an antiestrogen, is first-line treatment for PCOS, if CC fails to induce ovulation, laparascopic electrocautery of the ovaries is offered. In this prospective controlled study, 52 women with clomiphen-resistant PCOS (group 1) and 46 women with regular menstrual cycles as a control group (group 2) were included. Hormonal profile and doppler blood flow changes within the ovarian stroma befor and after laparascopic ovarian electrocautery (LOE) in women with clomiphen- resistant polycystic ovary syndrome assessed and compared between groups. The doppler indices (pulsatility index and resistance index) of ovarian stromal blood flow were significantly lower in group 1 befor LOE than in group 2. The serum levels of testosteron (T) and LH were significantly reduced in group 1 after LOE compared with in group 1 befor LOE (P < 0.05). Doppler indices (pulsatility index and resistance index) of ovarian stromal blood flow were significantly increased after LOE. Laparascopic electrocautery reduced serum T and LH and reduced ovarian blood flow velocities, which may explain the reduction of ovarian hyperstimulation syndrome in women with PCOS after LOE. Laparascopic electrocautery of the ovaries is now accepted as the preferred first-line treatment of women with PCOS who are resistant to clomiphen citrate. All affected women could be considered for this treatment. |
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| issn | 0044-6025 |
| language | English |
| last_indexed | 2024-12-11T13:56:51Z |
| publishDate | 2008-06-01 |
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| series | Acta Medica Iranica |
| spelling | doaj.art-ff564f04e8cf4fcb91f0e06f7841f6de2022-12-22T01:04:01ZengTehran University of Medical SciencesActa Medica Iranica0044-60252008-06-01463203206IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROMEL. SafdarianL. EslamianM. AdinehM. AghahoseiniA. AleyasinH. SaidiPolycystic ovary syndrom (PCOS) is characterized by infertility, oligomenorrhea, and hyperandrogenism. Clomiphene citrate (CC), an antiestrogen, is first-line treatment for PCOS, if CC fails to induce ovulation, laparascopic electrocautery of the ovaries is offered. In this prospective controlled study, 52 women with clomiphen-resistant PCOS (group 1) and 46 women with regular menstrual cycles as a control group (group 2) were included. Hormonal profile and doppler blood flow changes within the ovarian stroma befor and after laparascopic ovarian electrocautery (LOE) in women with clomiphen- resistant polycystic ovary syndrome assessed and compared between groups. The doppler indices (pulsatility index and resistance index) of ovarian stromal blood flow were significantly lower in group 1 befor LOE than in group 2. The serum levels of testosteron (T) and LH were significantly reduced in group 1 after LOE compared with in group 1 befor LOE (P < 0.05). Doppler indices (pulsatility index and resistance index) of ovarian stromal blood flow were significantly increased after LOE. Laparascopic electrocautery reduced serum T and LH and reduced ovarian blood flow velocities, which may explain the reduction of ovarian hyperstimulation syndrome in women with PCOS after LOE. Laparascopic electrocautery of the ovaries is now accepted as the preferred first-line treatment of women with PCOS who are resistant to clomiphen citrate. All affected women could be considered for this treatment.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/8830.pdf&manuscript_id=8830Polycystic ovary syndromelecterocauteryDoppler indices |
| spellingShingle | L. Safdarian L. Eslamian M. Adineh M. Aghahoseini A. Aleyasin H. Saidi IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME Acta Medica Iranica Polycystic ovary syndrom electerocautery Doppler indices |
| title | IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME |
| title_full | IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME |
| title_fullStr | IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME |
| title_full_unstemmed | IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME |
| title_short | IMPACT OF LAPARASCOPIC OVARIAN ELECTROCAUTERY ON DOPPLER INDICES WOMEN STROMAL BLOOD FLOW IN WOMEN WITH POLYCYSTIC OVARY SYNDROME |
| title_sort | impact of laparascopic ovarian electrocautery on doppler indices women stromal blood flow in women with polycystic ovary syndrome |
| topic | Polycystic ovary syndrom electerocautery Doppler indices |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/8830.pdf&manuscript_id=8830 |
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