Laparoscopic laser vaporization, endocoagulation and electrocauterization of polycystic ovaries [PCO] in management of clomiphenecitrate resistant anovulatory women

This study included 120 anovulatory women seeking fertility, they failed to ovulate after six cycles of clomiphene citrate [CC] 200 mg/day for five days. PCO was diagnosed according to clinical, ultrasonic, hormonal and laparoscopic criteria. Patients were classified according to laparoscopic ovarian technique into three groups: Group I included 40 cases of electrocauterization, Group II included 40 cases for endocoagulation and Group III included 40 cases for Co laser vaporization. Menstruation, ovulation and conception rates were recorded. The findings of the second look laparoscopy [SLL] were reported. Menstruation was established in 82.5%, 70% and 75% in groups I, II and III, respectively. It was concluded that laparoscopic management of anovulation in women with PCOS after exhaustive trial of CC therapy seemed to be useful and effective in those who ovulated. SLL was m and atory for reassessment and adhesiolysis. Laparoscopic ovarian electrocauterization was superior to endocoagulation and C02 laser vaporization for ovulation and conception rates. Laparoscopic ovarian electrocauterization was recommended for clomiphene resistant anovulatory infertility in women with PCOS as a result of being simple, available, inexpensive and effective