ALBORZI S, ROBATI M, PARSANEJAD M. T HE EFFECTIV ENESS OF LAPAROSCOPIC ELECTROCAUTERY IN CLOMIP HENE CITRATE RESISTANT PATIENTS WITH P OLYCYSTIC OVARY SYNDROME IN RELATION TO OVARIAN SIZE. Med J Islam Repub Iran 2001; 15 (3) :143-147
URL:
http://mjiri.iums.ac.ir/article-1-796-en.html
From the Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Po. Box: 71345-1818, Shiraz, 1.R. Iran.
Abstract: (4670 Views)
121 women with Polycystic Ovarian Syndrome and clomiphene citrate resistance
underwent laparoscopic ovarian cautery, 63 patients were type I or typical
PCOS with ovarian volume >8mL and 58 patients were type II PCOS with ovarian
volume <8mL. Serum concentrations of Luteinizing Hormone (LH), Follicular
Stimulating Hormone (FSH), Prolactin (PRL), Testosterone (T), and
Dehydroepiandrosterone Sulfate (DHEAS) were checked before cautery and 10
days after operation. This prospective study showed that PCOS patients with large
ovaries have higher LH levels than patients with normal size ovaries. LH and T
levels decreased after laparoscopic ovarian cauterization only in type I. The overall
ovulation rate was 91.5% in type I and 89.3% in type II. Pregnancy rate was
60.8% in type I and 66.7% in type II. There was no significant difference in ovulation
and pregnancy rates between the two groups of PC OS (p>O.05). It therefore
appears that the result of laparoscopic ovarian cauterization does not depend on
ovary size in clomphene citrate resistant patients with PCOS.