الفهرس | Only 14 pages are availabe for public view |
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 2015 to March 2016. This study included 50women 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, 46% both tubes were patent, 32% one tube blocked and 22% both tubes blocked. |