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Home |  Pregnancy overview |  Reproductive Health | Complications | Labor & Birth

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Surgical treatment consists of laparoscopic ovarian drilling. This, as mentioned is done via keyhole surgery. Tiny holes are drilled in both ovaries and this has been shown to significantly improve ovulation and therefore conception rates among women with polycystic ovaries. Laparoscopic ovarian drilling is almost as good as Clomiphene discussed above. For some selected individuals, it may be better in that it allows for the visual assessment of the pelvis and if other co-existing medical conditions which may confound the picture such as endometriosis are found, they can be dealt with thereby potentially improving the outcome.

 

 

Points to remember about polycystic ovaries:

§ Polycystic Ovarian Syndrome (PCOS) is not an acquired condition and cannot be cured.

§ Obesity, erratic menstruation, increased body hair, oily skin and fertility problems are the commonest presenting features of polycystic ovaries but they do not all occur in every affected woman.

§ Some affected women may experience loss of scalp hair and male-type baldness

§ The main underlying hormonal abnormalities are increased androgen activity (masculinising) and insulin resistance.

§ Successful weight reduction to normal body mass index  (BMI)in polycystic ovaries can lead to a resolution of most, if not all, of the presenting problems.

§ There is increased risk of Type 2 diabetes, cardiovascular disease (including hypertension), stroke and cancer of the lining of the womb later in life.

§ Sub-fertility associated with polycystic ovaries is usually effectively overcome using ovulation induction medication such as Clomiphene or surgically via laparoscopic ovarian drilling.

§ There is no firm evidence to suggest that Polycystic Ovarian Syndrome is hereditary.