1College of Medicine, University of Al-Qadisiyah, Iraq
PCOS patients diagnose by having two of the following criteria: first oligo-and/or anovulation, second hyperandrogenism (by clinical picture with or without biochemical features), and lastly ultrasound findings of polycystic disease. The underlying cause of PCOS is unknown. Theories about cause may include genetic predisposition. The role laparoscopic drilling for ovaries show advancing in treatment of PCOD in form of restore ovulation specially those patients in whom there is resistant to clomiphene citrate or incompliant for long term therapy. The current study was aimed to describe the role of laparoscopic ovarian drilling (LOD) as an effective and successful treatment for infertility in those patients with PCOD in whom medical treatment fail.
This study includes 50 patient's female, age between (22–35) years old. Inclusion criteria including period of infertility of 1-10-year duration, body weight increase with (bMI 29–35 Kg/m2), gynecological problems with abnormal menstruation, clinical pictures go with high level of androgen hormone like acne vulgaris and hirsutism. The results revealed that 50 patients were studied here. In 40 patients (80%), they show no menstrual cycle changes. Follow up period was 12 months.30 of patient (60%) had pregnancy; the mean time for the first pregnancy was 3.5months after operation. As a second line treatment for infertility treatment in patients with PCOD, LOD has good and successful results that lead to increase using specially for patients with failure of medical treatment and poor compliance. It's beneficial as less pelvic adhesion and minimal ovarian trauma making it with fewer side effects. The results postoperatively in regarding hormone assay and conception rate are favarouable.
Laparoscopic drilling, polycystic ovarian syndrome, hyperandrogenism
