Laparoscopic ovarian electrocauterization in polycystic ovarian syndrome: outcome and influencing factors

Abstract

The main clinical characteristic features of polycystic ovarian syndrome (PCOS) includes menstrual dysfunction, anovulation and signs of hyperandrogenism. The exact pathophysiology of this condition is unclear, PCOS can result from abnormal function of the hypothalamic-pituitary-ovarian (HPO) axis. Standardization of surgical techniques is controversial and reproductive outcomes are comparable with laser and diathermy. The objective of this study is to evaluate factors which increase the chance of ovulation and pregnancy after laparoscopic ovarian electrocauterization (LEC) polycystic ovarian syndrome failure to the usual treatment. Seventy-five women with PCOS who were unresponsive to treatment were participated in this study. The pregnancy rate was determined over a period of one and half year of follow-up. The resulted data showed that pregnancy rate 18 months after LEC was 51.2%. Pregnant women following surgery had shorter duration of infertility. In conclusion, laparoscopic ovarian electrocauterization is efficacious and cost-effective alternative to other types of treatment and main factors that affect the outcome of surgery are duration of infertility, type of infertility and amount of pre-operational LH levels.