ARTICLE INFO

Article Type

Original Research

Authors

Saremi   A.T. (*)
Tarazi   B. (1)
Ghanbari   F. (2)






(*) ‎“Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)” ‎, Sarem Women’s Hospital, Tehran, Iran
(1) ‎Aban Hospital, Tehran, Iran
(2) Sarem Women’s Hospital, Tehran, Iran

Correspondence

Article History

Received:   February  4, 2017
Accepted:   May 14, 2017
ePublished:   June 15, 2018

ABSTRACT

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. ‎

Keywords: Ovarian Electrocautery ‎, Polycystic Ovarian Syndrome‎, Infertility ‎,

CITATION LINKS

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