|Discussion in 'All Categories' started by monika - Mar 25th, 2012 10:07 am.|
|my age is 25.i have pcod.in folicular study we dont find folicals..how leparoscopy help me for pregnancy..n how many chances for sucess..|
re: PCOD by Dr M. K. Gupta - Apr 3rd, 2012 12:12 am
Dr M. K. Gupta
Ovarian drilling surgery is a good option and Case series studies of women with PCOS have reported that ovarian drilling results in an 80% ovulation rate and a 50% pregnancy rate.
The advantage of laparoscopy is that tubal patency can be checked at the same time in a single procedure, and ovarian drilling of either one or both ovaries appears to restore ovulation in a substantial number of patients.
Serum concentrations of LH and testosterone decrease rapidly after ovarian drilling with a sustained mid- and long-term effect. The proportion of women with regular menstrual cycles increases substantially after drilling and is sustained at long-term follow-up. Ovulation and pregnancy rates are substantially increased in the period after the operation and appear to be maintained. Resistance to the effects of ovarian drilling include marked obesity, very elevated levels of androgens, and long duration of infertility.
Addition of other ovulating agents such as clomiphene citrate or FSH appears to improve the effectiveness of laparoscopic ovarian drilling.
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