title: [Ovarian drilling for the treatment of infertility with dystrophic ovaries].
abstract: BACKGROUND
  Dystrophic ovaries represent the main cause of female infertility in Tunisia.
  
  
  OBJECTIVE
  To assess the contribution of ovarian drilling in the treatment of infertility in patients with ovarian dystrophy.
  
  
  METHODS
  A retrospective study of 23 patients with dystrophic ovaries that have benefited through their subfertility of laparoscopic ovarian drilling, in the gynecology-obstetrics hospital Mahmoud EL Matri, Ariana, Tunisia. Our study spans a period of 3 years from January 2004 to December 2006.
  
  
  RESULTS
  Among the 23 patients who underwent drilling for clomiphene citrate resistance, 9 have been pregnant. The average age of patients having had a pregnancy after ovarian drilling was 29.6 years, the average delay was 7.1mois. Regarding prognostic factors, only infertility's duration lower than 3 years was predictive of a good result.
  
  
  CONCLUSIONS
  Ovarian drilling is an interesting alternative to induction by FSH for patients with dystrophic ovaries.
authors.affiliation: Hopital Mahmoud El Matri, Ariana.
authors.forename: Mechaal
authors.initials: M
authors.lastname: Mourali
authors.forename: Abdelkarim
authors.initials: A
authors.lastname: Kawali
authors.forename: Lobna
authors.initials: L
authors.lastname: Fitouhi
authors.forename: Sondes
authors.initials: S
authors.lastname: Bekri
authors.forename: Faouzia
authors.initials: F
authors.lastname: Hmila
authors.forename: Naoufel
authors.initials: N
authors.lastname: Binous
authors.forename: Nabil
authors.initials: N
authors.lastname: Ben Zineb
authors.forename: Chiraz
authors.initials: C
authors.lastname: El Fekih
mesh_terms: D000328:Adult; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000601:surgery*; D010053:Ovary / Q000601:surgery*; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies