hormonal profile in patients with polycystic ovarian disease after electrocatuery of the ovarian capsule and wedge resection

ABSTRACT

Twenty females having PCOD were treated using the ovarian wedge resection in 8 cases and the laparoscopic ovarian capsule cauterization in 12 cases. Serum levels of P, E2, T, LH, LH/FSH ratio, FSH and prolactin were estimated just before and followed for 3 months after both types of therapy. The ovulation rate reached 83.3% and 62.5% after electrocautery and wedge resection respectively. The ovarian capsule cauterization was found to achieve better results in cases with initial LH/FSH ratio > 3 which are usually resistant to the medical treatment. The hormonal profile after both modalities of therapy showed a significant increase in E2 and P, significant decrease in T, LH and LH/FSH ratio and a nonsignificant change in FSH and prolactin levels. Laparoscopic ovarian cauterization was recommended as a better choice when compared with the wedge resection in the management of PCOD