Polycystic ovary syndrome surgery

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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 first-line therapy for PCOS and it does not affect insulin resistance or obesity. Surgery is indicated in the treatment of PCOS only in patients desiring fertility in whom at least 1 year of conservative therapy has failed.[1][2]

Surgery

Surgery is not considered first-line therapy for PCOS and it does not affect insulin resistance or obesity.

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

Surgial 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 are presumably the source of hormone production

Complications

  • Bleeding and/or infection
  • Postoperative adhesions

References

  1. 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.
  2. Lebbi I, Ben Temime R, Fadhlaoui A, Feki A (2015). "Ovarian Drilling in PCOS: Is it Really Useful?". Front Surg. 2: 30. doi:10.3389/fsurg.2015.00030. PMC 4505069. PMID 26236709.


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