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Human Reproduction, Vol. 9, No. 4, pp. 573-577, 1994
© 1994 European Society of Human Reproduction and Embryology


review-article

Laparoscopic treatment of polycystic ovarian disease

Timur G{diaeresis}rgan1, Hakan Yarali and B{diaeresis}lent Urman

Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Hacettepe Ankara, Turkey

Correspondence: 1To whom correspondence should be addressed

There has been a recent surge of interest in laparoscopic treatment of polycystic ovarian disease (PCOD) that is unresponsive to first-line ovulation-inducing agents. Laparoscopic treatment options include multiple ovarian punch biopsy, ovarian electrocauterization and laser vaporization or photo-coagulation. These procedures are relatively easy to perform, devoid of major complications, and yield satisfactory ovulation and conception rates. Adhesion formation, however, is a potential complication following such procedures. Furthermore, women subjected to laparoscopic destructive ovarian procedures also need to be critically assessed regarding other long-term risks, such as premature ovarian failure. Laparoscopic treatment of PCOD, at present, should be viewed as experimental awaiting further trials assessing its long-term safety

Key words: laparoscopy/polycystic ovarian disease/trearment


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