laparoscopic ovarian infertility

laparoscopic ovarian infertility

 

Ovarian Drilling Success Rate

Ovarian drilling is one of several surgical methods, such as in ovarian wedge resection, that healthcare providers have used to treat PCOS.

In women with PCOS, the ovaries may develop a thick outer surface that can affect ovulation. Ovarian drilling breaks through a thick outer layer and boosts fertility. Many women ovulate more regularly after ovarian drilling since testosterone production is directly affected. Contrary to the scary name, Ovarian Drilling is actually a relatively simple and minimally invasive procedure, here is how it works:

. Performed under general anesthesia

. Typically done on an outpatient basis with minimal recovery time, so you will go home the same day.

. Surgeon makes a small incision below the belly button.

. A tube is inserted into the abdomen, filling it with carbon dioxide and inflating the abdomen to prevent damage to the internal organs and let the surgeon better visualize the abdominal organs.

. A thin telescopic camera is inserted into the abdomen, allowing the surgeon to view the internal organs and ovaries on a connected monitor.

. Another incision allows the surgeon to place special instruments in the abdominal cavity to perform the actual procedure.

. Using the camera as a guide, special tools are inserted into the abdomen where an electric current or laser is used to make very small holes on the ovaries to destroy a small portion of thickened tissue.

The theory is similar to that of Ovarian Wedge Resection; by destroying ovarian tissue and reducing androgen production (male hormones), you can better manage PCOS symptoms.

What Are the Benefits Of Ovarian Drilling?

The goal of this procedure is to restore a woman’s menstrual cycle and help her ovulate. About 50% of women get pregnant in the first year after surgery. Some women still may not have regular cycles after the surgery. Others may have other fertility problems (such as blocked tubes or a low sperm count) that can prevent pregnancy.

Ovarian drilling is a one-time treatment unlike fertility medicines that have to be taken every month. Having twins or triplets is not as likely with ovarian drilling as with fertility medicines. However, the benefits of ovarian drilling are not permanent. Ovulation and menstrual cycles may become irregular again over time.

For some women with PCOS, ovarian drilling will not fix the problems with irregular periods and ovulation, even temporarily. However, ovarian drilling can help a woman respond better to fertility medicines.

Ovarian Drilling Success Rates

Pregnancy success rates from ovarian drilling range at around 61%. A few studies have shown that success rates are higher in women within the normal range for BMI or Body Mass Index.3 In most cases, the risks of ovarian damage and other complications do not outweigh the benefits of the surgery. Make sure to discuss the procedure and the associated risks and benefits with your healthcare provider before having any type of surgery.

How Soon After Ovarian Drilling Will I Ovulate?

Approximately 80% of patients who underwent ovarian drilling resumed ovulation, while nearly 50% were able to become pregnant within six months. You are less likely to have twins or triplets compared to other fertility treatments (which can be as high as 10%).

Ovarian Drilling Risks

Ovarian Drilling is not frequently used due to the risk of ovarian scarring, so make sure to get a second opinion and exhaust all other treatment options (like weight loss and medications) before proceeding with the procedure. Other risks associated with this procedure include:2

. Bleeding and pain

. Development of adhesions or scar tissue on your pelvic organs

. As with any surgery, there is minimal risk of infection and death

. Some anesthesia-related risks

. Too much of the ovary could be destroyed cause egg supplies to diminish at a young age, starting the onset of early menopause.

. Scar tissue can form between the ovaries and fallopian tubes, making conception even more difficult.

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best gynecologists and surgeons in Iran. The price of Ovarian Drilling PCOS treatment in Iran can vary according to each individual’s case and will be determined by an in-person assessment with the doctor.

For more information about the cost of Ovarian Drilling PCOS treatment in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.

Source:

https://www.verywellhealth.com/ovarian-drilling-to-treat-pcos-2616330

https://www.reproductivefacts.org/news-and-publications/patient-fact-sheets-and-booklets/documents/fact-sheets-and-info-booklets/ovarian-drilling-for-infertility/

 

10 common questions about laparoscopic ovarian infertility

1Does ovarian drilling help you get pregnant?
About half of all women that go through with ovarian drilling become pregnant within one year. Even if your cycles do not become more regular after ovarian drilling, you may have better success in getting pregnant with the help of fertility drugs. For some women, the benefits of ovarian drilling are short-lived.
2Can I get pregnant after laparoscopic surgery?
Getting Pregnant after Laparoscopy: What You Need to Know. Share this on social media: ... While it's true that every case is unique, the good news is that it is quite rare for laparoscopic surgery to adversely affect a woman's fertility. In many cases, it may actually improve the odds of conception
3Does ovarian drilling improve egg quality?
Ovarian drilling works by breaking through the thick outer surface and lowering the amount of testosterone made by the ovaries. This can help the ovaries release an egg each month and start regular monthly menstrual cycles. This may make it easier to get pregnant.
4Can laparoscopy increase chances pregnancy?
Also, laparoscopic surgery can treat some causes of infertility, allowing you a better chance at getting pregnant either naturally or with fertility treatments. ... Laparoscopy can be used to remove scar tissue, a fibroid, or endometrial deposits that are causing pain
5Can you get pregnant straight after ovarian drilling?
In the year after ovarian drilling, about half of the patients get pregnant. You are less likely to get pregnant with twins or triplets after ovarian drilling than if you are taking fertility drugs. However, your cycles may become irregular again as time goes by
6What does ovarian drilling do?
Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women who have polycystic ovary syndrome (PCOS). Electrocautery or a laser is used to destroy parts of the ovaries. ... Ovarian drilling is usually done through a small incision (laparoscopy), with general anesthesia
7Can I get pregnant after ovarian cysts surgery?
Women with endometriosis who aren't yet ready to get pregnant are excellent candidates for egg freezing. ... Women who have had ovarian cysts surgically removed will typically have a lower egg count
8Which is better HSG or laparoscopy?
The most commonly used tests are hysterosalpingography (HSG) and laparoscopy. The HSG is a contrast enhanced fluoroscopic and flat plate study used to evaluate the endometrial cavity and fallopian tubes. ... In another study, laparoscopy was found to be a better predictor of future fertility than HSG
9Do you ovulate after a laparoscopy?
RESULTS: A total of 36 out of 128 patients became pregnant after laparoscopy, with a 34% cumulative pregnancy rate. ... CONCLUSION: After laparoscopic treatment of endometriosis, ovulation induction has a positive effect only if done with hMG and the duration of infertility was less than 5 years (P<.05)
10Do you lose weight after ovarian drilling?
But it can be an option for women who are still not ovulating after losing weight and trying fertility medicines. Ovarian drilling is usually done through a small incision (laparoscopy), with general anesthesia. The surgeon makes a small cut (incision) in the abdomen at the belly button.

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