MINILAPAROTOMY AND OVARIAN DIATHERMY DRILLING FOR CLOMIPHENE RESISTANT POLY CYSTIC OVARIAN DISEASE
Abstract
Background: This study was carried out to determine the effectiveness and safety of minilaparotomy and ovarian drilling for sub fertile women with clomiphene resistant polycystic ovarian syndrome. Methods: During a 2 year period (August 2000 to August 2002) 16 patients with polycystic ovarian disease were managed by minilaparotomy and ovarian drilling by diathermy. All the patients underwent full infertility workup and then treated with cyclical clomiphene citrate for 6 months. Results: Six patients (37.5%) presented in age group 15–25 years. Eight patients (50.0%) were in age group 26–35 years. Only 2 (12.5%) patients presented in age group 36–44 years. Eleven (68.75%) patients had primary infertility. Five (31.25%) patients presented with secondary infertility. After treatment and 6 months follow up, ovulation occurred in 14 (87.5%) patients. Eleven (68.75%) women conceived pregnancy. Conclusion: Ovarian drilling is a powerful tool in the treatment of polycystic ovarian disease.Key Words: Polycystic ovarian Syndrome, Ovarian hyper stimulation syndrome, wedge resection, ovulation induction.References
Conways GS, Honoue JW, Jacobss, HS. Heterogenicily of polycystic ovary syndrome clinical endocrine and ultra sound features in 556 patients. Clin Endocrinol 1998:30;459-70
Rabau E, Serr DA. Human menopausal gonadotrophin for ovulation and sterility. Am J Obstet gynaecol 1996:98:92-6
Adash EY, Rock YA, Guzick TU. Fertility following bilateral ovarian wedge resection; a critical analysis of 90 consective cases of polycystic ovary syndrome. Fertility and sterility 1991; 36:320-25
Frants AS, Polson DW. Multifollicular ovaries, clinical and endocrine features and response to pulsatile gonadotrophin releasing harmone. Lancet 1998; 1375-78
Stein IF, Leventhal ML. Amenorrhea associated with bilateral polycystic ovaries Am J obstet Gynacol 1930; 29:181-91
Gjnnaess GH. Ovarian electrocautry in treatment of women with polycystic ovary syndrome. Factors affecting the results. Acta obstel Gynacol Scand 1999; 73:401-12
Armar NA, Lachelin GcL. Laparoscopic ovarian diathermy: an effective treatment for antiestrogen resistant anovulatory infertility in women with polycystic ovary syndrome. British Journal of Obstet Gynacol 1998; 100:161-4.
Campas O. Ovulatory cycles, pregnancy outcome and complications after surgical treatment of polycystic ovary syndrome. Obstet Gynaecol Survey 1998; 53(5): 297-308.
Gader PA, Khatim MS, Alnasir HM, Mowafi RSL, Shani RW. Ovarian electrocautry. Responders vs non responders Gynaecol Endocrinol 1997;7: 4-8
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
