REVIEW ARTICLE
Year : 2015  |  Volume : 6  |  Issue : 1  |  Page : 40-48

Laparoscopic ovarian drilling: An alternative but not the ultimate in the management of polycystic ovary syndrome


Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Tatibandh, Raipur, Chhattisgarh, India

Correspondence Address:
Dr. Prasanta Kumar Nayak
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Tatibandh, Raipur - 492 099, Chhattisgarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0976-9668.149076

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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.


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