title: Repeat transvaginal ultrasound-guided ovarian interstitial laser treatment improved the anovulatory status in women with polycystic ovarian syndrome.
abstract: OBJECTIVE
  To assess the effectiveness of repeated transvaginal ultrasound-guided ovarian interstitial laser treatment in the management of anovulatory patients with polycystic ovary syndrome (PCOS).
  
  
  METHODS
  A retrospective study was performed in our department on 27 anovulatory PCOS women who failed to respond to the first ultrasound-guided transvaginal ovarian interstitial laser treatment. Each woman received a repeat procedure and postoperative rates of ovulation and pregnancy were monitored.
  
  
  RESULTS
  Of 27 patients, 18 (66.67%) ovulated spontaneously following the repeated ultrasound-guided transvaginal ovarian interstitial laser treatment Ten women became pregnant within six postoperative months and a cumulative pregnancy rate of 37.04% was achieved. There were no significant operative complications.
  
  
  CONCLUSIONS
  Repeated ultrasound-guided transvaginal ovarian interstitial laser treatment is an effective and safe management in anovulatory PCOS patients who fail to respond or have a transient response to the first transvaginal ovarian interstitial laser treatment.
authors.affiliation: Department of Reproductive Health, Shen-Zhen City Maternity and Child Healthcare Hospital, Shen-Zhen 518048, China. zhuwenjie542004@yahoo.com.cn
authors.forename: Wenjie
authors.initials: W
authors.lastname: Zhu
authors.forename: Mengxun
authors.initials: M
authors.lastname: Chen
authors.forename: Zhihong
authors.initials: Z
authors.lastname: Fu
authors.forename: Xuemei
authors.initials: X
authors.lastname: Li
authors.forename: Chunrong
authors.initials: C
authors.lastname: Qin
authors.forename: Xuelian
authors.initials: X
authors.lastname: Tang
authors.forename: Xiumin
authors.initials: X
authors.lastname: Chen
mesh_terms: D000328:Adult; D000858:Anovulation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017075:Laser Coagulation / Q000379:methods*; D010053:Ovary / Q000601:surgery; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011247:Pregnancy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014463:Ultrasonography