[Effectiveness of laparoscopic ovarian "drilling" in patients with polycystic ovarian syndrome and ovarian infertility].
THE AIM of this study was to demonstrate the efficiency of laparoscopic ovarian drilling in the treatment of Polycystic Ovarian Syndrome (PCOS) associated with infertility.


METHODS
We studied 54 patients with PCOS that also presented infertility and menorrhea. The PCOS was diagnosed by ultrasound in the 2nd Clinic of Obstetrics and Gynaecology in Iaşi, using Bataglia and ASRM/ESHRE criteria. We selected 32 patients with PCOS and infertility, in which medical treatment with inductors of ovulation and Metformin failed and laparoscopy was indicated. In these patients we practiced bilateral laparoscopic ovarian drilling.


RESULTS
In the next 3 months the menstrual cycle became regulated and 3 of the patients became pregnant. Other 10 patients became pregnant in the next 9 months after laparoscopic ovarian drilling.


CONCLUSIONS
PCOS associated with infertility should be laparoscopy treated because the effect is faster and the fertility prognosis is better.
David
Cristina
C
Universitatea de Medicină şi Farmacie Gr.T. Popa Iaşi, Facultatea de Medicină, Clinica a IIa Obstetrică-Ginecologie.
Lupaşcu
Ivona
I
Vegheş
Simina
S
D000328:Adult; D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D010062:Ovulation Induction / Q000379:methods*; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011256:Pregnancy Outcome; D011446:Prospective Studies; D016896:Treatment Outcome