role of laparoscopic ovarian surgery in women with polycystic ovarian syndrome

ABSTRACT

To determine the efficacy of laparoscopic ovarian surgery [LOS] in women with polycystic ovarian syndrome in terms of ovulation induction, conception rate and regulation of menstrual cycle. The study was carried out in the Department of Gynaecology, Nishtar Hospital, Multan from March 2007 to February 2009. A total of 200 patients fulfilling the inclusion criteria were enrolled. LH/FSH ratio and ultrasound pelvis was done in all women. Presence of eight or more follicles in one or both ovaries was the cutoff number for the positive ultrasound. Patients with other causes of infertility were excluded from the study. Laparoscopic ovarian drilling [LOD] was done in all patients. In this study 100% patients [n=200]were infertile due to PCOS. 70% women had menstrual irregularity, 30% had hirstuism, 35% had weight gain. Raised LH/FSH ratio was observed in 52% of patients while ultrasound features were seen in 81% of women. After LOD regulation of menstrual cycle was seen in 70% of patients, ovulation was observed in 75% while 55%of patients conceived after laparoscopic ovarian drilling. Laparoscopic ovarian drilling is the preferred second line for induction of ovulation after clomifene citrate resistance/failure