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Fertility after Ovarian Drilling by Transvaginal Fertiloscopy for Treatment of Polycystic Ovary Syndrome

2004; Elsevier BV; Volume: 11; Issue: 3 Linguagem: Inglês

10.1016/s1074-3804(05)60054-0

2213-8870

H. Fernandez, Antoine Watrelot, Jean-Dominique Alby, Jacques Kadoch, A. Gervaise, Renaud Detayrac, René Frydman,

Ovarian cancer diagnosis and treatment

To evaluate fertiloscopy ovarian drilling with bipolar energy in women with clomiphene citrate-resistant polycystic ovary syndrome (PCOS).Prospective study (Canadian Task Force classification II).University teaching hospital and private clinic.Eighty women with clomiphene citrate-resistant PCOS.Operative transvaginal fertiloscopy with a coaxial bipolar electrode.During a mean follow-up of 18.1 months (+/- 6.4), 73 women (91%) recovered regular and ovulatory cycles. The cumulative pregnancy rate was 60% (44/73) for spontaneous and stimulated cycles, with 39.7% (29/73) imputed to drilling alone. The mean time to conceive was 3.9 months (range 1-11.8). There were eight miscarriages (18%), and no ectopic pregnancies or multiple pregnancy. No complications occurred.Ovarian drilling by transvaginal fertiloscopy with bipolar electrosurgery appears to be an effective minimally invasive procedure in patients with PCOS resistant to clomiphene citrate.