Polycystic ovary syndrome surgery: Difference between revisions
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==Overview== | ==Overview== | ||
Surgery is not considered a first-line therapy for polycystic ovary syndrome (PCOS) and it does not affect insulin resistance or obesity. Surgery is indicated in the treatment of PCOS only in patients desiring [[pregnancy]] in whom at least 1 year of conservative therapy has failed. | Surgery is not considered a first-line therapy for polycystic ovary syndrome (PCOS) and it does not affect [[insulin resistance]] or [[obesity]]. Surgery is indicated in the treatment of PCOS only in patients desiring [[pregnancy]] in whom at least 1 year of conservative therapy has failed. | ||
==Surgery== | ==Surgery== | ||
Surgery is not considered first-line therapy for PCOS and it does not affect [[insulin]] resistance or [[obesity]].<ref name="pmid21339935">{{cite journal |vauthors=Badawy A, Elnashar A |title=Treatment options for polycystic ovary syndrome |journal=Int J Womens Health |volume=3 |issue= |pages=25–35 |year=2011 |pmid=21339935 |pmc=3039006 |doi=10.2147/IJWH.S11304 |url=}}</ref> | Surgery is not considered first-line therapy for PCOS and it does not affect [[insulin]] resistance or [[obesity]].<ref name="pmid21339935">{{cite journal |vauthors=Badawy A, Elnashar A |title=Treatment options for polycystic ovary syndrome |journal=Int J Womens Health |volume=3 |issue= |pages=25–35 |year=2011 |pmid=21339935 |pmc=3039006 |doi=10.2147/IJWH.S11304 |url=}}</ref><ref name="pmid28420801">{{cite journal |vauthors=Amer SA, Shamy TTE, James C, Yosef AH, Mohamed AA |title=The impact of laparoscopic ovarian drilling on AMH and ovarian reserve: a meta-analysis |journal=Reproduction |volume=154 |issue=1 |pages=R13–R21 |year=2017 |pmid=28420801 |doi=10.1530/REP-17-0063 |url=}}</ref><ref name="pmid26841163">{{cite journal |vauthors=Hueb CK, Dias Júnior JA, Abrão MS, Filho EK |title=Drilling: medical indications and surgical technique |journal=Rev Assoc Med Bras (1992) |volume=61 |issue=6 |pages=530–5 |year=2015 |pmid=26841163 |doi=10.1590/1806-9282.61.06.530 |url=}}</ref> | ||
===Indication=== | ===Indication=== | ||
Surgery is indicated in the treatment of PCOS only in patients desiring [[fertility]] in whom at least 1 year of conservative therapy has failed | Surgery is indicated in the treatment of PCOS only in patients desiring [[fertility]] in whom at least 1 year of conservative therapy has failed. | ||
===Surgical options=== | ===Surgical options=== | ||
'''Ovarian drilling''' | '''Ovarian drilling''' | ||
*[[Laparoscopic surgery]] that uses a laser or electrosurgical needle to puncture a number of small follicles visible on the surface of the ovary, which is presumably the source of [[hormone]] production | *[[Laparoscopic surgery]] that uses a laser or electrosurgical needle to puncture a number of small follicles visible on the surface of the ovary, which is presumably the source of [[hormone]] production. | ||
===Complications=== | ===Complications=== | ||
*[[Bleeding]] and/or [[infection]] | *[[Bleeding]] and/or [[infection]] |
Latest revision as of 15:14, 2 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Surgery is not considered a first-line therapy for polycystic ovary syndrome (PCOS) and it does not affect insulin resistance or obesity. Surgery is indicated in the treatment of PCOS only in patients desiring pregnancy in whom at least 1 year of conservative therapy has failed.
Surgery
Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity.[1][2][3]
Indication
Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed.
Surgical options
Ovarian drilling
- Laparoscopic surgery that uses a laser or electrosurgical needle to puncture a number of small follicles visible on the surface of the ovary, which is presumably the source of hormone production.
Complications
References
- ↑ Badawy A, Elnashar A (2011). "Treatment options for polycystic ovary syndrome". Int J Womens Health. 3: 25–35. doi:10.2147/IJWH.S11304. PMC 3039006. PMID 21339935.
- ↑ Amer SA, Shamy T, James C, Yosef AH, Mohamed AA (2017). "The impact of laparoscopic ovarian drilling on AMH and ovarian reserve: a meta-analysis". Reproduction. 154 (1): R13–R21. doi:10.1530/REP-17-0063. PMID 28420801. Vancouver style error: initials (help)
- ↑ Hueb CK, Dias Júnior JA, Abrão MS, Filho EK (2015). "Drilling: medical indications and surgical technique". Rev Assoc Med Bras (1992). 61 (6): 530–5. doi:10.1590/1806-9282.61.06.530. PMID 26841163.