title: Ovarian Drilling in PCOS: Is it Really Useful?
abstract: Polycystic ovary syndrome (PCOS) is a frequent disorder, affecting approximately 5-10% of infertile women. It can represent more than 80% of cases of infertility due to anovulation. The main goal of treatment is the induction of mono-ovulatory cycles. A pragmatic management of infertility in PCOS will allow most patients to conceive. Weight loss and clomiphene citrate (CC) are the first-line components of patients treatment before gonadotrophins are used. However, during gonadotrophin administration, there is a high risk of ovarian hyper-stimulation and multiple pregnancies. So, surgery with laparoscopic ovarian drilling is often used before gonadotrophins in order to obtain normal ovulatory cycles.
authors.affiliation: Ob-Gyn and Fertility Private Clinic, Dream Center , Tunis , Tunisia.
authors.forename: Issam
authors.initials: I
authors.lastname: Lebbi
authors.affiliation: Department of Obstetrics and Gynecology, Charles Nicolle Hospital , Tunis , Tunisia.
authors.forename: Riadh
authors.initials: R
authors.lastname: Ben Temime
authors.affiliation: Department of Obstetrics and Gynecology, HFR Fribourg - Hôpital Cantonal , Fribourg , Switzerland.
authors.forename: Anis
authors.initials: A
authors.lastname: Fadhlaoui
authors.affiliation: Department of Obstetrics and Gynecology, HFR Fribourg - Hôpital Cantonal , Fribourg , Switzerland.
authors.forename: Anis
authors.initials: A
authors.lastname: Feki
keywords: anovulation; laparoscopic drilling; ovarian drilling; ovarian infertility; polycystic ovary syndrome