درمان لاپاراسكوپي بيماران با تخمدانهاي پلي كيستيك با استفاده از كوتري فورسپس تك قطبي

LAPAROSCOPIC TREATMENT OF POLYCYSTIC OVARIES WITH UNIPOLAR FORCEPS CAUTERY

Infertility is one of the social problems all over the world include our country. One of the treatable causes of infertility is an ovarian dieases like polycstic ovary syndrom(PCOS). The first line of treatment for women with polycystic ovary syndrom(PCOS) and women who are resistant to clomid and gonadotropin is to use the standardized technique of laparoscopic ovarian drilling with unipolar forceps cautery. The purpose of this research was to evaluate the reproductivity outcome of infertile women with PCOS in jahrom city. In this retrospective study, we evaluated a consecutive series of 40 cases of PCO related unovulatory infertility treated with laparoscopic ovarian drilling between march 1999 and september 2001. In all of these cases PCOS was demoesterated by using sonography, hormonal profile and menstural history. All of them were resistand to maximum dose of clomid(200 mg/day) and some of them did not response to HMG. Ovulatory rate, pregnancy .rate and miscarriage rate were obtained. Evaluation of menstural history and basal body temperature after surgical operation showed the ovulation with regular cycle in 35 women(87.5%), 17 women concieved after 1-2years of surgery(42.5%) and two cases had abortion(11.7%). In general the results of this research showed that laparascopic ovarian drilling is an effective alternative treatment in clomid resistant infertile women with PCOS.