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Ovarian drilling was first used in the treatment of PCOS in 1984 and has evolved as a safe and effective surgery. [11] After performing laparoscopic electrosurgical ovarian drilling in CC-resistant patients in 1984, Gjönnaess found that this technique increased ovulation rates to 45 percent and pregnancy rates to 42 percent. [18]
Polycystic ovary syndrome, or polycystic ovarian syndrome (PCOS), is the most common endocrine disorder in women of reproductive age. [14] The syndrome is named after cysts which form on the ovaries of some women with this condition, though this is not a universal symptom and not the underlying cause of the disorder.
Though surgery is not commonly performed, the polycystic ovaries can be treated with a laparoscopic procedure called "ovarian drilling" (puncture of 4-10 small follicles with electrocautery), which often results in either resumption of spontaneous ovulations or ovulations after adjuvant treatment with clomiphene or FSH.
Reproductive endocrinology and infertility (REI) is a surgical subspecialty of obstetrics and gynecology that trains physicians in reproductive medicine addressing hormonal functioning as it pertains to reproduction as well as the issue of infertility.
Reproductive surgery in women has largely been complementary to other ART methods such as medication, except for in tubal infertility, where surgery remains the main treatment. [11] Although reproductive surgery has been most relevant for severe symptoms, there has been a strong interest in greater analysis surrounding this topic of research. [10]
Letrozole is the preferred treatment in those with infertility due to PCOS and is associated with a higher pregnancy rate than other treatments. [2] Both clomiphene and letrozole have a risk of a multiple gestation pregnancy, with the risk being less than 10%. [ 2 ]
1. Minoxidil. Let’s start this list off with your best option: minoxidil. The generic version of Rogaine®, minoxidil is an FDA-approved treatment available as a liquid, foam and oral medication.
-ectomy : surgical removal (see List of -ectomies). The term 'resection' is also used, especially when referring to a tumor.-opsy : looking at-oscopy : viewing of, normally with a scope-ostomy or -stomy : surgically creating a hole (a new "mouth" or "stoma", from the Greek στόμα (stóma), meaning "body", see List of -ostomies)
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