Laparoscopic ovarian drilling for polycystic ovarian syndrome in clomiphene citrate-resistant women with anovulatory infertility
Author
Source
Issue
Vol. 25, Issue 2 (30 Jun. 2003), pp.1-13, 13 p.
Publisher
King Hamad University Hospital
Publication Date
2003-06-30
Country of Publication
Bahrain
No. of Pages
13
Main Subjects
Topics
Abstract EN
Objectives: To evaluate the efficacy of laparoscopic ovarian drilling in clomiphene citrate-resistant women with polycystic ovarian syndrome (PCOS), and to determine the factors affecting the pregnancy rate.
Design: Prospective study (Canadian Task Force classification II-2).
Setting: Tertiary referral teaching hospital.
Patients: One hundred ninety-eight women with clomiphene citrate- resistant PCOS.
Intervention: Laparoscopic ovarian drilling, all procedures were performed by the author over a four year period between June 1996 and June 2000, with follow-up for 2 years.
Main outcome measures: Ovulation and pregnancy rate.
Results: Follow-up data, which were available for 181 patients, showed a spontaneous ovulation rate of 70.1%, cumulative ovulation rate of 98.3%, and pregnancy rate of 84.5%.
Women who conceived following surgery were obese, had higher pre-operative luteinizing hormone (LH) levels, were younger and were more likely to have typical ultrasonographic features of polycystic ovarian disease.
Logistic multiple regression analysis showed that the pre-operative LH levels, body mass index (BMI) and the age of the patient were the main determinants of the outcome.
Conclusion: Our results demonstrate that laparoscopic ovarian drilling is an effective procedure in clomiphene-resistant anovulatory women with PCOS.
The pregnancy rate in women with pre-operative LH levels of more than 10 IU/L, a BMI of ≥30 kg/m2, with age ≤30 years reached 97.3%.
American Psychological Association (APA)
al-Ujaymi, Iftikhar Hasan. 2003. Laparoscopic ovarian drilling for polycystic ovarian syndrome in clomiphene citrate-resistant women with anovulatory infertility. Bahrain Medical Bulletin،Vol. 25, no. 2, pp.1-13.
https://search.emarefa.net/detail/BIM-602525
Modern Language Association (MLA)
al-Ujaymi, Iftikhar Hasan. Laparoscopic ovarian drilling for polycystic ovarian syndrome in clomiphene citrate-resistant women with anovulatory infertility. Bahrain Medical Bulletin Vol. 25, no. 2 (Jun. 2003), pp.1-13.
https://search.emarefa.net/detail/BIM-602525
American Medical Association (AMA)
al-Ujaymi, Iftikhar Hasan. Laparoscopic ovarian drilling for polycystic ovarian syndrome in clomiphene citrate-resistant women with anovulatory infertility. Bahrain Medical Bulletin. 2003. Vol. 25, no. 2, pp.1-13.
https://search.emarefa.net/detail/BIM-602525
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 10-14
Record ID
BIM-602525