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Front Surg. 2015 Jul 17;2:30. doi: 10.3389/fsurg.2015.00030. eCollection 2015.

Ovarian Drilling in PCOS: Is it Really Useful?

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Ob-Gyn and Fertility Private Clinic, Dream Center , Tunis , Tunisia.
Department of Obstetrics and Gynecology, Charles Nicolle Hospital , Tunis , Tunisia.
Department of Obstetrics and Gynecology, HFR Fribourg - Hôpital Cantonal , Fribourg , Switzerland.


Polycystic ovary syndrome (PCOS) is a frequent disorder, affecting approximately 5-10% of infertile women. It can represent more than 80% of cases of infertility due to anovulation. The main goal of treatment is the induction of mono-ovulatory cycles. A pragmatic management of infertility in PCOS will allow most patients to conceive. Weight loss and clomiphene citrate (CC) are the first-line components of patients treatment before gonadotrophins are used. However, during gonadotrophin administration, there is a high risk of ovarian hyper-stimulation and multiple pregnancies. So, surgery with laparoscopic ovarian drilling is often used before gonadotrophins in order to obtain normal ovulatory cycles.


anovulation; laparoscopic drilling; ovarian drilling; ovarian infertility; polycystic ovary syndrome

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