Abstract |
The feasibility of ultrasound-guided transvaginal interstitial laser treatment of the ovary (TILT) and its efficacy for ovulation induction was investigated in 3 hormone- therapy-resistant patients with chronic hyperandrogenic anovulation. TILT was performed at powers of 1-2 W and exposures of 75-600 s. Clear-cut hyperechogenic zones developed during laser irradiation with diameters of up to 13.7 mm. Spontaneous ovulation and/or hormonal changes after TILT did not occur. No adhesion formation was seen during a laparoscopy or laparotomy in 2 patients 6 months after TILT. In conclusion, TILT of the ovaries was simple to perform but so far the clinical results are disappointing. Further studies with a modified technique are necessary to further investigate the efficacy of TILT.
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Authors | E M Kaaijk, F van der Veen, J F Beek, M J van Gemert, F B Lammes |
Journal | Gynecologic and obstetric investigation
(Gynecol Obstet Invest)
Vol. 44
Issue 2
Pg. 115-9
( 1997)
ISSN: 0378-7346 [Print] Switzerland |
PMID | 9286725
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Adult
- Anovulation
(etiology, surgery)
- Female
- Humans
- Hyperandrogenism
(complications, surgery)
- Infertility, Female
(surgery)
- Laser Therapy
(methods)
- Ovary
(surgery, ultrastructure)
- Pilot Projects
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