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25 Jan 2006

Ovarian Dilling query
could you please tell me how successful this is. I have tried the clomid route and have just resently miscarried. my Gynae has recommended overian drilling.
Please could you help me understand the procedure and steps normally taken from there?
Answer 322 views
Expert
Fertility expert
fertility expert

01 Jan 0001

Dear Michelle

Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women with polycystic ovary syndrome (PCOS) who have not responded to weight loss and fertility medication. Electrocautery or laser is used to destroy portions of the ovaries.

Laparoscopy is usually done with general anesthesia. A small incision is made in the abdomen at the navel. A tube is used to inflate the abdomen with a small amount of carbon dioxide gas so the laparoscope can be inserted without damage to the abdominal internal organs. The surgeon looks through the laparoscope at the internal organs. Surgical instruments may be inserted through the same incision or other small incisions in the pelvic area.
Ovarian drilling, done during laparoscopy, is a procedure in which a laser fibre or electrosurgical needle punctures the ovary 4 to 10 times. This treatment results in a dramatic lowering of male hormones within days and is often performed in women who have polycystic ovary syndrome (PCOS).

Studies have shown that up to 80 percent of patients will benefit from such treatment. Many women who fail to ovulate with clomiphene or Metformin therapy will respond when these medications are reintroduced to the system after ovarian drilling. Side effects are rare, but may result in adhesion formation or ovarian failure if there are complications during the procedure.


The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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