AUTHOR=Lebbi Issam , Ben Temime Riadh , Fadhlaoui Anis , Feki Anis 

TITLE=Ovarian Drilling in PCOS: Is it Really Useful?

JOURNAL=Frontiers in Surgery

VOLUME=Volume 2 - 2015

YEAR=2015

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2015.00030

DOI=10.3389/fsurg.2015.00030

ISSN=2296-875X

ABSTRACT=Polycystic ovary syndrome (PCOS) is a frequent disorder, affecting approximately 5 to 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 gonadotropins are used. However, during gonadotropin administration, there is a high risk of ovarian hyper-stimulation (OHSS) and multiple pregnancies. So, surgery with laparoscopic ovarian drilling (LOD) is often used before gonadotropins in order to obtain normal ovulatory cycles.