Ovarian wedge resection with contact Nd:YAG laser irradiation used laparoscopically.
Twelve women with polycystic ovary disease were treated with Nd:YAG laser contact irradiation using a cutting-type probe. Bilateral ovarian wedge resection was performed in every case. After undergoing the procedure, seven patients achieved pregnancy, and another three experienced the return of a normal menstrual cycle. Serum testosterone and androstenedione levels were decreased postoperatively, while luteinizing hormone (LH), follicle stimulating hormone (FSH) and estradiol were increased. It seems that the decrease in intraovarian androgens might have reduced the negative feedback system and thus might have increased the secretion of gonadotropin and estradiol, which in turn promoted ovulation induction and pregnancy.
Kojima
E
E
Department of Obstetrics and Gynecology, Toho University School of Medicine, Tokyo, Japan.
Yanagibori
A
A
Otaka
K
K
Hirakawa
S
S
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D012739:Gonadal Steroid Hormones / Q000097:blood; D006801:Humans; D007247:Infertility, Female / Q000097:blood / Q000601:surgery*; D020706:Laparoscopes; D053685:Laser Therapy / Q000295:instrumentation*; D010053:Ovary / Q000601:surgery*; D011085:Polycystic Ovary Syndrome / Q000097:blood / Q000601:surgery*; D011247:Pregnancy
D012739:Gonadal Steroid Hormones