Best Practice & Research Clinical Endocrinology & Metabolism
Volume 20, Issue 2 , Pages 271-280, June 2006

Surgical treatment of polycystic ovary syndrome

  • Adam Balen, MD, FRCOG (Professor of Reproductive Medicine and Surgery)

      Affiliations

    • Corresponding Author InformationTel.: +44 113 392 2728.

Department of Reproductive Medicine, The General Infirmary, Leeds LS2 9NS, UK

Laparoscopic ovarian surgery for the induction of ovulation in women with polycystic ovary syndrome provides a single-treatment option with a good rate of unifollicular ovulation, thereby minimizing the need for extensive ultrasound monitoring because of a low risk of multiple pregnancy. The cumulative conception rates after 6 months are lower than those with gonadotropin therapy, but after 12 months the pregnancy rates are similar. The risks, albeit low, are those of laparoscopic surgery, general anaesthesia and ovarian damage.

Key words: laparoscopic ovarian diathermy, wedge resection, polycystic ovary syndrome, ovulation induction, clomifene citrate resistance, gonadotropin therapy

To access this article, please choose from the options below

Login to an existing account or Register a new account.

  • Purchase this article for 31.50 USD (You must login/register to purchase this article)

    Online access for 24 hours. The PDF version can be downloaded as your permanent record.

  • Subscribe to this title

    Get unlimited online access to this article and all other articles in this title 24/7 for one year.

  • Claim access now

    For current subscribers with Society Membership or Account Number.

  • Visit SciVerse ScienceDirect to see if you have access via your institution.
 

PII: S1521-690X(06)00029-7

doi:10.1016/j.beem.2006.03.006

Best Practice & Research Clinical Endocrinology & Metabolism
Volume 20, Issue 2 , Pages 271-280, June 2006

Article Tools