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Laparoscopic electrocoagulation of the ovarian surface in infertile patients with polycystic ovarian disease

Naether OG et al., 1993

Fertility and sterility, 60(1), 88-94

DOI 10.1016/s0015-0282(16)56042-7 PMID 8513964 Source

Abstract

Objective

To assess the endocrinologic and clinical outcome after laparoscopic ovarian electrocautery because of polycystic reaction to ovarian stimulation in anovulatory infertility patients.

Design

Between 1986 and 1989, 133 patients with polycystic ovarian disease underwent laparoscopic electrocoagulation of the ovarian surface in an outpatient clinic after conventional ovarian stimulation had led to polycystic reaction.

Setting

All patients were referred to our outpatient clinic affiliated with the university hospital.

Results

The reduction of androgen levels and normalization of cycle length were highly significant. The overall pregnancy rate was 70% (73 of 104), ranging from 27% in smokers to 94% in nonsmoking couples. In 26 second-look operations de novo adhesions were found in 26.9% of the patients.

Conclusion

Laparoscopic coagulation of the ovarian surface is an effective tool to reduce elevated androgen levels and to improve the intraovarian mechanism of selecting a dominant follicle. A postoperative complication may be adhesion formation.

Topics

PCOS > Treatment > SurgicalInfertility > Female Factor > Ovulatory DysfunctionSurgery > Laparoscopy > TechniqueReproductive Endocrinology > Ovulation > Induction
ovarian drilling for pcos, laparoscopic ovarian electrocoagulation anovulation, polycystic ovary surgery pregnancy rates, ovarian surface cautery fertility, laparoscopic treatment pcos infertility, ovulation induction pcos surgical, pcos clomid resistance surgery, ovarian drilling adhesion formation, androgen reduction ovarian surgery, laparoscopic ovarian diathermy outcomes, pcos dominant follicle selection surgery, surgical ovulation induction effectiveness

Cite this article

Naether, O. G., Fischer, R., Weise, H. C., Geiger-Kötzler, L., Delfs, T., & Rudolf, K. (1993). Laparoscopic electrocoagulation of the ovarian surface in infertile patients with polycystic ovarian disease. *Fertility and sterility*, *60*(1), 88-94. https://doi.org/10.1016/s0015-0282(16)56042-7

Keywords

Adult, Electrocoagulation, Female, Follicle Stimulating Hormone, Humans, Laparoscopy, Luteinizing Hormone, Ovary, Polycystic Ovary Syndrome, Pregnancy, Retrospective Studies, Testosterone, Tissue Adhesions

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