Ovarian drilling for surgical treatment of polycystic ovarian syndrome: a comprehensive review
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Authors
Fernandez, Hervé
Morin-Surruca, Michèle
Torre, Antoine
Faivre, Erika
Deffieux, Xavier
Gervaise, Amélie
Issue Date
2011-06
Type
Article
Language
en_US
Keywords
Infertility Management , Tissue Adhesions , Ovarian Drilling , Polycystic Ovarian Syndrome
Alternative Title
Abstract
This systematic literature review is intended to clarify and evaluate the results obtained by ovarian drilling as surgical treatment for polycystic ovarian syndrome (PCOS). Four databases were consulted (Medline at the National Library of Medicine, USA; Cochrane Library, UK; National Guideline Clearinghouse, USA; and the Health Technology Assessment Database, Sweden) and searched for 'polycystic ovary syndrome' plus 'drilling' in the title or abstract. The assessment criteria used to define the efficacy of the procedure were the rates of ovulation, clinical pregnancy and early miscarriage. Alternatives to surgical ovarian drilling were evaluated. This search produced 147 references, 81 of which met the selection criteria. This review of infertility management in women with PCOS indicates that ovarian drilling is a second-line treatment when treatment with clomiphene citrate fails to lead to conception. The benefits of ovarian drilling are that it does not induce either hyperstimulation syndrome or multiple pregnancies. It is concluded that ovarian drilling is an option in the management of female infertility associated with PCOS, especially as a second-line treatment after the failure of clomiphene citrate treatment.
Description
Citation
Fernandez H, Morin-Surruca M, Torre A, Faivre E, Deffieux X, Gervaise A. Ovarian drilling for surgical treatment of polycystic ovarian syndrome: a comprehensive review. Reprod Biomed Online. 2011 Jun;22(6):556-68. doi: 10.1016/j.rbmo.2011.03.013. Epub 2011 Mar 21. PMID: 21511534.
Publisher
Reproductive biomedicine online