Assessment of Tubal Patency after Laparoscopic Ovarian Drilling in Patients with PCOs

Abstract

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder in women and major cause of anovulatory infertility. PCOS patients can present a wide range of signs and symptoms, which make difficult the precise grading of the condition. Lifestyle modifications are considered first-line treatment for women with PCOS. Such changes include diet, exercise and weight loss. Pharmacologic treatments are reserved for so-called metabolic derangements, such as anovulation, hirsutism, and menstrual irregularities. Aim: The aim of this study is to assess tubal patancy in patients with PCOs after laparoscopic ovarian drilling. Patients and Methods: Type of study: Observational prospective study. Timing of this study started from June to March . This study included women with PCOs attended the infertility outpatient clinic in the university hospital with previous history of laparoscopic ovarian drilling. Results: Laparoscopic ovarian drilling (LOD) has been used widely by gynecologists as an alternative surgical method for ovulation induction using gonadotropins for PCOS patients unresponsive to clomiphene, but there is a lack of consensus on effectiveness of this method. Apart from general complication that may occur during any laparoscopic surgery, peri-adenexal adhesion formation and premature ovarian failure are the two main potential complications of laparoscopic ovarian drilling. In the current study, Result of post-LOD HSG show that, both tubes were patent, one tube blocked and both tubes blocked. Keywords: PCOS: Polycystic ovary syndrome, LOD: laparoscopic ovarian drilling, HSG: