RESUMEN
Forty infertile patients with PCOD were enrolled in the study, they were undergone laparoscopic ovarian electrocautery. Before the operation, all cases were subjected to a good history with a thorough clinical examination together with transvaginal ultrasonic examination, hormonal profile [FSH, LH, prolactin and DHEA] in the early follicular phase and color Doppler of uterine and ovarian arteries with determination of pulsatility index [PI] were done to all patients. After operation hormonal profile was assessed one day, one month and three months after electrocautery, Doppler study of ovarian and uterine arteries, folliculometry for three consecutive cycles. As regard Doppler before drilling, flow velocity patterns of uterine and ovarian vessels showed high pulsatility index [PI], which showed gradual decrease along the three cycles after drilling. As regard, hormonal profile, FSH showed significant rise, while LH and LH/FSH ratio showed significant fall along the three cycles, DHEA showed no significant change one day after drilling, but significantly decreased one month and three months after drilling. On the other hand, prolactin showed no significant change