Surgical ovarian wedge resection was the first established treatment for women with anovulatory polycystic ovary syndrome (PCOS) but was largely abandoned both due to the risk of postsurgical adhesions and the introduction of medical ovulation induction. Laparoscopic ovarian drilling (LOD) is an alternative method to induce ovulation in PCOS patients with clomiphene citrate resistance instead o...

BACKGROUND Currently, there is an uncertainty about the impact of laparoscopic ovarian drilling (LOD) on the natural history of polycystic ovarian syndrome (PCOS). This longitudinal follow-up study was undertaken to investigate the long-term effects of LOD. METHODS The study included 116 anovulatory PCOS women who underwent LOD between 1991 and 1999 (study group) and 34 anovulatory PCOS women...

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. Logisti...

Submit Manuscript | http://medcraveonline.com Abbrevations: PCOS: Polycystic Ovary Syndrome; OCPs: Oral Contraceptive Pills; HA: Hyper androgenic Anovulation; SHBG: Sex-Hormone Binding Globulin; LDL: Low-Density Lipoprotein; HDL: High-Density Lipoprotein; HTN: Hypertension; AR: Androgen Receptor; LH: Luteinizing Hormone; VNTR: Variable Number of Tandem Repeats; TNF-alpha: Tumor Necrosis Factora...

Background: Endometriosis is defined as the presence of endometrial glands and stroma outside the endometrial cavity and uterine musculature. The most common site of endometriosis is pelvis, but endometrotic implants may occur nearly anywhere in the body. Endometriosis is a common and serious gynecologic problem in reproductive age women, who have pelvic pain, dyspareunia, or infertility. The g...

Thanks to the marvelous developments in illumination and instrumentation, the indications of endoscopic surgery in gynecologic practice have been expanded to cover most of gynecologic subspecialties. Some gynecologists, after gaining basic knowledge following a training course or a three-day workshop, use endoscopy frequently whether or not indicated. This can be attributed to a desire to get h...