UNILATERAL OVARIAN DRILLING IN POLYCYSTIC OVARY SYNDROME, DOES IT WORK?
The Egyptian Journal of Fertility of Sterility
Objective: To evaluate the effect of unilateral and bilateral ovarian drilling by clcctrocautary in PCOS patients who failed to ovulatc by medical therapy. Design: A prospective randomized clinical study. Setting: Participants: Eighly-scvcn patients with failure of ovulation as a result of polycyslic ovarian syndrome were randomly allocated to cither unilateral (Group A= 43 patients ) or bilateral (Group B= 44 patients ) laparoscopic ovarian drilling by clcctrocautary Outcome measures: The mean
... measures: The mean prclrcatmcnl and post-treatment FSH, LH, and testosterone concentrations were the primary outcome. Ovulation, pregnancy, miscarriage rates during one year of follow up period were the secondary outcome. Results: The average lime for unilateral ovarian drilling was shorter than bilateral drilling. In patients who ovulatc tiller drilling, there was a significant fall in scrum LH concentration (Group A: P<0.05 , Group B: P<0.05). Ovulation. pregnancy and the miscarriage rates were nearly the same in both groups. Conclusion: Unilateral Ovarian Drilling in PCOS was effective, less time consuming and probably associated with less complications.