UNILATERAL OVARIAN DRILLING IN POLYCYSTIC OVARY SYNDROME, DOES IT WORK? | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 3, Volume 11, Issue 2, January 2007, Page 17-22 PDF (2.25 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2007.4878 | ||||
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| Authors | ||||
| Hamed Youssef; Magdy Atallah | ||||
| Department of Obstetrics and Gynecology, and Department of anesthesia, Mansoura University Hospital, Mansoura, Egypt. | ||||
| Abstract | ||||
| Objective: To evaluate the effect of unilateral and bilateral ovarian drilling by clcctrocautary in PCOS patients who failed to ovulatc by medical therapy. Design: A prospective randomized clinical study. Setting: Department of Obstetrics and Gynecology and fcrlilily care unit, faculty of medicine; Mansoura University Hospital, from January 2003 to December 2006. Participants: Eighly-scvcn patients with failure of ovulation as a result of polycyslic ovarian syndrome were randomly allocated to cither unilateral (Group A= 43 patients ) or bilateral (Group B= 44 patients ) laparoscopic ovarian drilling by clcctrocautary Outcome measures: The mean prclrcatmcnl and post- treatment FSH, LH, and testosterone concentrations were the primary outcome. Ovulation, pregnancy, miscarriage rates during one year of follow up period were the secondary outcome. Results: The average lime for unilateral ovarian drilling was shorter than bilateral drilling. In patients who ovulatc tiller drilling, there was a significant fall in scrum LH concentration (Group A: P<0.05 , Group B: P<0.05). Ovulation. pregnancy and the miscarriage rates were nearly the same in both groups. Conclusion: Unilateral Ovarian Drilling in PCOS was effective, less time consuming and probably associated with less complications. | ||||
| Keywords | ||||
| PCOs; Unilateral Ovarian Drilling; Ovulation rate. Pregnancy and miscarriage rates | ||||
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