Surgical Management of the Polycystic Ovary Syndrome

@inproceedings{Balen2006SurgicalMO,
  title={Surgical Management of the Polycystic Ovary Syndrome},
  author={Adam H Balen},
  year={2006}
}
Surgical approaches to ovulation induction have developed from the traditional wedge resection to modern minimal access techniques, usually employing laparoscopic ovarian diathermy (LOD) or laser. This provides a single treatment option with a good rate of unifollicular ovulation, thereby minimizing the need for extensive ultrasound monitoring because of a low risk of multiple pregnancy. There is no difference between the cumulative conception rates between LOD and gonadotropin therapy after 12… 
Consensus on infertility treatment related to polycystic ovary syndrome.
LAPAROSCOPIC OVARIAN DRILLING FOR POLYCYSTIC OVARIAN SYNDROME
TLDR
The LOD in clomiphene-resistant patients with PCOS may avoid or reduce the risk of OHSS and the multiple pregnancy rate induced by gonadotrophin therapy with the same rate of conception, even though inferior to similar studies.
Consensus on infertility treatment related to polycystic ovary syndrome.
  • Kuang Hong
  • Medicine, Biology
    Human reproduction
  • 2008
TLDR
The consensus reached by a group of experts regarding the therapeutic challenges raised in infertile women with polycystic ovary syndrome is described, on the basis of the currently available evidence, the consensus.
Infertility Riding on Polycystic Ovarian Syndrome (PCOS): A Review of Treatment Modalities
TLDR
This chapter will explore the latest evidence for fertility treatments for women with PCOS, which indicates obesity clearly has a role in long term health and may best predict both reproductive and metabolic dysfunction as well as negatively affect the response to treatment in women withPCOS.
Revised 2003 consensus on diagnostic criteria and long-term health risks related to polycystic ovary syndrome.
  • Medicine, Biology
    Fertility and sterility
  • 2004
TLDR
PCOS remains a syndrome of ovarian dysfunction along with the cardinal features hyperandrogenism and polycystic ovary (PCO) morphology, and no single diagnostic criterion is sufficient for clinical diagnosis.

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TLDR
It is shown that laparoscopic electrocautery of the ovarian surface (LEOS) is an effective method to reduce serum androgen concentrations, normalizing ovarian cycle length and the ovarian reaction to hormonal stimulation therapy in anovulatory patients with polycystic ovarian disease (PCOD).
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It is suggested that patients with polycystic ovarian disease can be induced to ovulate, and subsequently conceive, by laparoscopic argon laser treatment.
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TLDR
It is suggested that early laparoscopy lysis of adhesions does not improve short-term conception rates following laparoscopic Nd-YAG laser photocoagulation of polycystic ovaries.
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TLDR
The application of seven or more punctures per ovary may result in excessive destruction to the ovary without any improvement of the results and should therefore be discouraged.
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