Duration of Fertility Following Ovarian Wedge Resection—stein-Leventhal Syndrome

Stein, Irving F.

doi:10.1097/00006254-196502000-00028

Cited by 20 publications

(9 citation statements)

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“…In the past wedge resection of ovary for treatment of PCOS did show reduction in LH levels but with side effects. 11 With the advent of laparoscopy and ovarian drilling side effect of ovarian tissue damage has been reduced. Ballen et al suggested laparoscopic drilling of a single ovary instead of both to further minimise these complications.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome of unilateral versus bilateral laparoscopic ovarian drilling in clomiphene citrate resistant cases of polycystic ovarian syndrome: a comparative study

Laul

Saxena

Kurrey

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: The aim of the current study is to compare the efficacy of laparoscopic unilateral ovarian drilling with bilateral ovarian drilling in clomiphene citrate resistant cases of polycystic ovarian syndrome in terms of clinical response, change in biochemical parameters, ovulation rate, pregnancy rate and miscarriage rate.Methods: The study was conducted on 45 women with anovulatory infertility due to PCOS with clomiphene citrate resistance. By random selection, all patients were divided in two groups. In group 1, unilateral ovarian drilling was done and in group 2, bilateral ovarian drilling was done. A maximum of 5 drills were performed using insulated unipolar diathermy needle. Patients were followed up for one year and the clinical outcome in two groups were recorded and compared.Results: Post ovarian drilling it was seen that no major differences were noted between the two groups in return of spontaneous menstruation at 6 weeks (65% vs 60%), overall ovulation rate (55% vs 65%) and pregnancy rate (45% vs 40%). The mean fall in serum LH, serum FSH and serum testosterone were also similar in the two groups.Conclusions: Unilateral laparoscopic ovarian drilling had similar efficacy as bilateral laparoscopic ovarian drilling in terms of restoration of normal menstrual pattern, ovulation and achieving pregnancy. It is an effective alternative minimally invasive procedure for patients with resistant PCOS.

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Section: Discussionmentioning

confidence: 99%

Clinical outcome of unilateral versus bilateral laparoscopic ovarian drilling in clomiphene citrate resistant cases of polycystic ovarian syndrome: a comparative study

Laul

Saxena

Kurrey

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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show abstract

“…This triad of signs in the presence of bilateral polycystic ovaries is a sine qua non of the diagnosis of what was then known as the Stein-Leventhal syndrome. When patients were thus diagnosed, treatment by bilateral ovarian wedge resection resulted in a 95% reversal to normal menstrual cycles and conception rate of 85% (Stein, 1964).…”

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confidence: 99%

Review Article: The Polycystic Ovary Syndrome

Yen

1980

Clinical Endocrinology

681

268

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“…Over the next 35 years, surgical treatment in the form of wedge resection was the accepted treatment of polycystic ovary syndrome. 19 In his series of 108 patients, Stein reported a pregnancy rate of 85%. 1 In another series, the pregnancy rate was lower, and since then the efficacy of wedge resection has been questioned.…”

Section: Discussionmentioning

confidence: 99%

Bilateral or Unilateral KTP Laser Ovarian Drilling in Polycystic Ovarian Disease

Jamal

2000

Ann Saudi Med

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Duration of Fertility Following Ovarian Wedge Resection—stein-Leventhal Syndrome

Cited by 20 publications

References 0 publications

Clinical outcome of unilateral versus bilateral laparoscopic ovarian drilling in clomiphene citrate resistant cases of polycystic ovarian syndrome: a comparative study

Clinical outcome of unilateral versus bilateral laparoscopic ovarian drilling in clomiphene citrate resistant cases of polycystic ovarian syndrome: a comparative study

Review Article: The Polycystic Ovary Syndrome

Bilateral or Unilateral KTP Laser Ovarian Drilling in Polycystic Ovarian Disease

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