Laparoscopic drilling of ovaries
In women who fail to ovulate because of a condition called polycystic ovarian syndrome, if oral medications fail to achieve ovulation, laparoscopic drilling of the ovaries may be done. In polycystic ovaries, the ovaries are fully of tiny follicles with fluid in it. A few of these fluid filled follicles are punctured using an instrument introduced through the laparoscope. This causes reduced levels of hormones called androgens and subsequently there is restoration of normal ovulation. In the adjacent picture, the white organ is the ovary. the few brown spots seen on it are made by the electrocautery .
What to expect after this procedure:
Will my PCOD be totally cured? In 82% of patients, ovulation can be expected. In 63% , conception can be expected either spontaneously or after treatment with medications to which they were previously resistant. It is cheaper compared to treatment with hormone injections. The effect may last longer. The rate of miscarriage in PCOD patients who concieve with laparoscopic drilling is slightly lower than that of women with PCOD who concieve with medical treatment. for those who respond to laparoscopic drilling, but relapse into anovulation, a repeat procedure has been shown to be effective . This procedure is particularly useful for slim women with PCOD.