title: Laparoscopic ovarian drilling: An alternative but not the ultimate in the management of polycystic ovary syndrome.
abstract: Since its introduction in 1984, laparoscopic ovarian drilling has evolved into a safe and effective surgical treatment for anovulatory, infertile women with polycystic ovary syndrome (PCOS), unresponsive to clomiphene citrate. It is as effective as gonadotropins in terms of pregnancy and live birth rates, but without the risks of ovarian hyperstimulation syndrome and multiple pregnancies. It improves ovarian responsiveness to successive ovulation induction agents. Its favorable reproductive and endocrinal effects are sustained long. Despite its advantages, its use in unselected cases of PCOS or for non-fertility indications is not prudent owing to the potential risks of iatrogenic adhesions and ovarian insufficiency.
authors: Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Tatibandh, Raipur, Chhattisgarh, India.
authors: Subarna
authors: S
authors: Mitra
authors: Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Tatibandh, Raipur, Chhattisgarh, India.
authors: Prasanta Kumar
authors: PK
authors: Nayak
authors: Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Tatibandh, Raipur, Chhattisgarh, India.
authors: Sarita
authors: S
authors: Agrawal
keywords: Clomiphene citrate resistance; laparoscopic ovarian drilling; polycystic ovary syndrome