Ovarian Stromal Blood Flow After Laparoscopic Ovarian Drilling in Women With Polycystic Ovary Syndrome

Ismail, A. M.; Azzam, Mohamed N.; Al-Sayed, Gamal A.; Salem, Mostafa Abdo Ahmed

doi:10.21608/zumj.2015.4518

Cited by 1 publication

(1 citation statement)

References 33 publications

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“…Majority of patients were overweight [BMI in all groups was around 27 kg/m 2 ]. Ismail et al [20] reported that, patient age, body mass index [BMI], infertility duration, pattern of menstrual cycle and type of infertility did not differ significantly between study groups. Additionally, Lebbi et al [21] reported that 77% of them were presented with high BMI with a mean value of 27.8 kg/m².…”

Section: Discussionmentioning

confidence: 99%

Effects of Different Methods of Laparoscopic Ovarian Drilling and its Outcome in Patients with Polycystic Ovary Syndrome

Hamoda

Megahed

Oun

2021

International Journal of Medical Arts

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Background: Polycystic ovary syndrome [PCOS] is an important and common etiology for anovulatory infertility. Clomiphene citrate [CC] is the first line of treatment. One fourth of females are resistant to CC. Laparoscopic ovarian drilling [LOD] has developed manage CC-resistant cases. However, no consensus was established on the ideal drilling method. Aim of the work: This study aimed to evaluate the efficacy of different LOD methods for anovulatory infertility in CC-resistant PCOS patients. Patients and Methods: The study participants [200] were assigned randomly to one of four equal groups. Group [I] treated by unilateral cutting LOD. Group [II] treated by unilateral electro-coagulative LOD. Group [III] treated by bilateral cutting LOD. Group [IV] treated by bilateral electro-coagulative LOD. All participants were submitted to history taking, clinical examination, laboratory investigation, antral follicular count [AFC], and transvaginal ultrasound. After LOD, follow up included regularity of menstrual cycle, ovulation, and hormonal assay [at six months after ovarian drilling]. Also, ovulation, pregnancy and miscarriage rates were documented. Results:The study groups showed no significant difference regarding patient characteristics [e.g., body mass index, infertility duration and menstrual cycle history], and hormonal profile before and after LOD. The spontaneous ovulation rate was 40%, 42.0%, 46.0% and 40.0% in groups I, II, III and IV, respectively. The pregnancy rate was 32.0%, 38.0%, 44.0% and 42.0% in groups I, II, III and IV, respectively.in all groups, hormonal profile and AFC showed significant improvement after LOD compared with corresponding pre-LOD values. However, levels of FSH are significantly nonsignificant. Conclusion:Different techniques of LOD are equally effective and safe [e.g., unilateral ovarian drilling is as effective and safe as bilateral drilling, regardless of the drilling method [coagulative or cutting] with comparable ovulation, pregnancy and miscarriage rates.

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Section: Discussionmentioning

confidence: 99%