Fertility after Ovarian Drilling by Transvaginal Fertiloscopy for Treatment of Polycystic Ovary Syndrome

Transvaginal hydrolaparoscopy in the treatment of polycystic ovary syndrome

“…The results demonstrate the feasibility of ovarian drilling by transvaginal access, confirming the results of previous publications (21)(22)(23)(24).…”

“…Moreover, the transvaginal approach offers a direct access to the tubes, ovaries, and fossa ovarica, with the possibility of limited and minimally invasive operative procedures (19,20). Among these procedures, transvaginal ovarian capsule drilling proved to be successful in a number of pilot studies (21)(22)(23)(24).…”

Diagnostic and Therapeutic Transvaginal Hydrolaparoscopy

“…The cumulative pregnancy rate was 60 % for spontaneous and stimulated cycles, with 40% imputed to drilling alone. 11 It was suggested that THLOD has the same effectiveness as trans-abdominal LOD. It was also reported that there were no complications.…”

“…[6][7][8] Moreover, operative THL such as ovarian drilling for unovulatory women with polycystic ovarian syndrome (PCOS) to induce ovulation has also appeared to be as effective as that by the conventional laparoscopy. 5,[9][10][11][12][13] This procedure is named transvaginal hydrolaparoscopic ovarian drilling (THLOD). THL has also been expected to be useful for adhesiolysis in some limited lesions.…”

Le drilling ovarien dans le traitement des ovaires polykystiques

“…De novembre 1998 à janvier 2003, 80 multiperforations par hydrolaparoscopie transvaginale ont été pratiquées [22]. Quarante-quatre patientes sur 73 évaluables ont présenté une grossesse spontanée ou après reprise du citrate de clomifène (60 %).…”