Ovarian drilling
Ovarian drilling is a surgical procedure that can be used to treat ovulation problems in women who have polycystic ovary syndrome (PCOS).
Overview
Polycystic ovary syndrome (PCOS) is a common condition that affects how a woman's ovaries work. It's characterized by high levels of insulin and androgen hormones, irregular periods, and the presence of small cysts on the ovaries. One of the treatment options for women with PCOS who are struggling to conceive is ovarian drilling.
Procedure
During an ovarian drilling procedure, a surgeon makes a small incision in the abdomen and inserts a thin, telescope-like instrument called a laparoscope. The surgeon then uses an electric current or a laser to destroy part of the ovaries. This procedure is usually done under general anesthesia.
Effectiveness
Ovarian drilling can help to restore normal ovulation in some women with PCOS. It works by reducing the amount of androgen hormones produced by the ovaries, which can help to correct hormonal imbalances and improve the chances of ovulation.
Risks and Complications
Like all surgical procedures, ovarian drilling carries some risks. These can include infection, bleeding, and damage to the ovaries or other nearby organs. There's also a risk that the procedure won't be successful, or that any benefits will only be temporary.
Alternatives
Ovarian drilling is usually considered only after other treatments for PCOS have failed. These can include lifestyle changes, medication to control insulin and hormone levels, and fertility treatments such as clomiphene or gonadotropins.
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Contributors: Prab R. Tumpati, MD