Volume 19, Issue 3 (11-2005)                   Med J Islam Repub Iran 2005 | Back to browse issues page

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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
LAPAROSCOPIC OVARIAN DRILLING INCLOMIPHENE RESISTANT PCO PATIENTS: A PREFERRED METHOD OF TREATMENT
J ZOLGHADRI , S MOTAZEDIAN , S DEHBASHI , Z TAVANA
Gynecology Endoscopy Ward, Shiraz University of Medical Sciences, Shiraz, Iran. , jzolghad@yahoo.com
Abstract:   (4145 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.
Keywords: Clomiphene resistant PCO- laparoscopic ovarian cauterization
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Type of Study: Original Research: Clinical Science | Subject: Gynecology & Obstetrics
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