Polycystic ovary syndrome surgery

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Surgery is not considered a first-line therapy for polycystic ovary syndrome (PCOS) and it does not affect insulin resistance or obesity. Surgery is indicated in the treatment of PCOS only in patients desiring pregnancy in whom at least 1 year of conservative therapy has failed.

Surgery

Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity.^[1]^[2]^[3]

Indication

Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed.

Surgical options

Ovarian drilling

Laparoscopic surgery that uses a laser or electrosurgical needle to puncture a number of small follicles visible on the surface of the ovary, which is presumably the source of hormone production.

Complications

Bleeding and/or infection
Postoperative adhesions

References

↑ Badawy A, Elnashar A (2011). “Treatment options for polycystic ovary syndrome”. Int J Womens Health. 3: 25–35. doi:10.2147/IJWH.S11304. PMC 3039006. PMID 21339935.
↑ Amer SA, Shamy T, James C, Yosef AH, Mohamed AA (2017). “The impact of laparoscopic ovarian drilling on AMH and ovarian reserve: a meta-analysis”. Reproduction. 154 (1): R13–R21. doi:10.1530/REP-17-0063. PMID 28420801. Vancouver style error: initials (help)
↑ Hueb CK, Dias Júnior JA, Abrão MS, Filho EK (2015). “Drilling: medical indications and surgical technique”. Rev Assoc Med Bras (1992). 61 (6): 530–5. doi:10.1590/1806-9282.61.06.530. PMID 26841163.

Template:WikiDoc Sources

[pmid21339935-1] Badawy A, Elnashar A (2011). “Treatment options for polycystic ovary syndrome”. Int J Womens Health. 3: 25–35. doi:10.2147/IJWH.S11304. PMC 3039006. PMID 21339935.

[pmid28420801-2] Amer SA, Shamy T, James C, Yosef AH, Mohamed AA (2017). “The impact of laparoscopic ovarian drilling on AMH and ovarian reserve: a meta-analysis”. Reproduction. 154 (1): R13–R21. doi:10.1530/REP-17-0063. PMID 28420801. Vancouver style error: initials (help)

[pmid26841163-3] Hueb CK, Dias Júnior JA, Abrão MS, Filho EK (2015). “Drilling: medical indications and surgical technique”. Rev Assoc Med Bras (1992). 61 (6): 530–5. doi:10.1590/1806-9282.61.06.530. PMID 26841163.

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