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

Abstract
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.
AuthorsSubarna Mitra, Prasanta Kumar Nayak, Sarita Agrawal
JournalJournal of natural science, biology, and medicine (J Nat Sci Biol Med) 2015 Jan-Jun Vol. 6 Issue 1 Pg. 40-8 ISSN: 0976-9668 [Print] India
PMID25810633 (Publication Type: Journal Article, Review)

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