Volume 3, Issue 1 (2018)                   SJMR 2018, 3(1): 55-58 | Back to browse issues page


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Saremi A, Tarazi B, Ghanbari F. The Efficacy of Laparoscopic Ovarian Electrocautery on Infertile Patients with Polycystic Ovary Syndrome (PCOS) and Resistance to Ovulation Induction Treatment. SJMR. 2018; 3 (1) :55-58
URL: http://saremjrm.com/article-1-87-en.html
1- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran , Saremiat@yahoo.com
2- Aban Hospital, Tehran, Iran
3- Sarem Women’s Hospital, Tehran, Iran
Abstract:   (6242 Views)

Aims: Polycystic ovary syndrome (PCOS) is one of the clinical conditions associated with chronic anovulation and infertility. Non-surgical procedures, including ovulation induction drugs or surgical procedures, are used to treat it. The objective of this study was to investigate the efficacy of laparoscopic ovarian electrocautery on infertile patients with PCOS and resistance to ovulation induction treatment.
Materials & Methods: This experimental study was conducted on 183 infertile female patients with PCOS and resistance to drug treatment that referred to Sarem women’s hospital (Tehran, Iran) during a five-year period. Sampling was done by sequential census. For all patients, ovarian laparoscopy and electrocautery were carried out and all of them were subjected to ovulation induction protocols. Ovarian response was evaluated along with variables such as age, duration of infertility, menstrual status, the levels of LH and FSH, hirsutism, and time interval between laparoscopy and ovulation. Data were analyzed by Chi-square and independent t tests using SPSS software.
Findings: The ovulation rate was found as 81.4% among the patients, but only in 26% of those patients pregnancy completed successfully. There was no significant relationships between ovulation with the levels of LH, FSH and LH/FSH ratio (p>0.05). The relationship between ovarian response and postoperative treatment protocol was significant (p=0.0001), which indicated a substantial treatment response for any ovulation induction with clomid.
Conclusion: Laparoscopic ovarian electrocautery is an appropriate treatment for infertile patients with PCOS and resistance to ovulation induction treatment.  
 

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Article Type: Original Research | Subject: Reproduction
Received: 2017/02/3 | Accepted: 2017/05/15 | Published: 2018/05/22

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