Polycystic ovary syndrome treated with laparoscopic ovarian drilling with a harmonic scalpel. A prospective, randomized study
| Autor: | Shigeto, Takeuchi, Noritaka, Futamura, Shinichirou, Takubo, Naomi, Noda, Hiroyuki, Minoura, Nagayasu, Toyoda |
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| Rok vydání: | 2002 |
| Předmět: |
Adult
Ovulation Time Factors Pregnancy Rate Dehydroepiandrosterone Sulfate Pregnancy Outcome Luteinizing Hormone Vibration Body Mass Index Treatment Outcome Pregnancy Humans Female Laparoscopy Testosterone Prospective Studies Follicle Stimulating Hormone Infertility Female Anovulation Polycystic Ovary Syndrome |
| Zdroj: | The Journal of reproductive medicine. 47(10) |
| ISSN: | 0024-7758 |
| Popis: | To evaluate the endocrinologic profile and reproductive outcome after laparoscopic drilling using a harmonic scalpel for polycystic ovarian syndrome (PCOS) in clomiphene-resistant infertile women.We performed a prospective, randomized study of 34 infertile women with PCOS. Group A (17 women) underwent laparoscopic ovarian drilling using a harmonic scalpel laser. Group B (control group, 17 women) underwent laparoscopic ovarian drilling using a neodymium-yttrium-aluminum-garnet laser. Change in the hormonal profile after surgery, ovulation rate and pregnancy rate were compared between groups A and B.LH and testosterone serum levels and the LH-FSH ratio showed a statistically significant reduction after surgery, and the spontaneous ovulation rate was 94% in both groups. The cumulative pregnancy rates within two years of follow-up were 77% in group A and 60% in group B.Laparoscopic ovarian drilling using a harmonic scalpel is an effective treatment for PCOS in clomiphene-resistant, anovulatory women: it results in ovulation and conception without major complications. |
| Databáze: | OpenAIRE |
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