ZOLGHADRI J, MOTAZEDIAN S, DEHBASHI S, TAVANA Z. LAPAROSCOPIC OVARIAN DRILLING INCLOMIPHENE RESISTANT PCO PATIENTS: A PREFERRED METHOD OF TREATMENT. Med J Islam Repub Iran 2005; 19 (3) :237-240
URL:
http://mjiri.iums.ac.ir/article-1-579-en.html
Gynecology Endoscopy Ward, Shiraz University of Medical Sciences, Shiraz, Iran. , jzolghad@yahoo.com
Abstract: (4133 Views)
Objective: To determine the efficacy of ovarian drilling in PCO patients who
failed to achieve pregnancy with medical treatment.
Methods and Main Results: 75 patients with a diagnosis of PCO of whom
48(64%) were primary infertile and 27(36%) were secondary infertile were clomiphene
resistant. The other methods like bromocriptin, gonadotropins, GnRH -a and
metformin had been given to these patients for infertility treatment without benefit. After
ovarian drilling, pregnancy was achieved in 41 patients (54.6%), 30(40%) in group I
(primary infertile group) and 11 (14.6%) in group II (secondary infertile group). During
the operation adhesiolysis was necessary in 14( 18.6%) and removal of endometriotic
lesions was indicated in 5(6.6%) in both groups.
Conclusion: Ovarian drilling is an ideal technique in PCO patients with failure of
medical treatment, considering the benefit of also performing other necessary surgical
interventions.