الفهرس 
POLYCYSTIC OVARY SYNDROMEOnly 14 pages are availabe for public view
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Abstract
Summary
Polycystic ovary syndrome (PCOS) is a very common reproductive
disorder, affecting approximately 5–10% of women in their child bearing
years .Although the primary defect in PCOS is unclear, the treatment aims to
restore ovulatory cycles so that pregnancy can be achieved. The main goal of
treatment of an ovulatory infertility is the induction of mono-ovulatory cycles
The use of gonadotrophins for the ovulation induction in anovulatory
PCOS women has been extensively studied, showing a high success rate .
However, during gonadotropin administration, there is a need for an
experienced physician and careful sonographic and biochemical monitoring
to avoid or reduce the risk of ovarian hyperstimulation and multiple
pregnancies. Since the risk for these complications is particularly higher in
PCOS patients, several treatments have been proposed to induce monoovulation
in these women before gonadotrophin use .
Ovarian wedge resection had been the first established treatment for
anovulatory PCOS patients but was largely abandoned due to the risk of
post-surgical adhesions and the introduction of medical ovulation induction.
Surgical therapy with laparoscopic ovarian drilling (LOD) may avoid or
reduce the need for gonadotrophins or may facilitate their use. The procedure
can be performed with less trauma and fewer postoperative adhesions.
Several studies have claimed that ovarian drilling is followed, at least
temporarily, by a high rate of spontaneous ovulation and conception, and/or
that subsequent medical ovulation induction becomes easier. This procedure
is associated at times with ovarian damage and risk of adhesion formation.