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Human Reproduction, Vol. 9, No. 12, pp. 2342-2349, 1994
© 1994 European Society of Human Reproduction and Embryology

research-article

Surgery:Long-term follow-up in 206 infertility patients with polycystic ovarian syndrome after laparoscopic electrocautery of the ovarian surface

O.G.J. Naether1, V. Baukloh, R. Fischer and T. Kowalczyk2

Institute for Hormone and Fertility Research (IHF), University of Hamburg Grandweg 64, 22529 Hamburg, Germany

Correspondence: 1To whom correspondence should be addressed

In recent publications we have demonstrated that laparoscopic electrocautery of the ovarian surface (LEOS) is an effective method to reduce serum androgen concentrations, normalizing ovarian cycle length and the ovarian reaction to hormonal stimulation therapy in anovulatory patients with polycystic ovarian disease (PCOD). In this paper we show that these effects are not only temporary. Data from 206 patients undergoing LEOS and monitored for up to 72 months after surgery are evaluated; 145 patients achieved a total of 211 conceptions, giving a pregnancy rate of 70%, with a maximum of four conceptions in one patient. There were 38 early miscarriages (18%) and two late pregnancy losses as well as three ectopic implantations.

Key words: hyperandrogenaemia/laparoscopic electrocautery of the ovarian surface/ovarian electrocautery/ovarian hyperstimulation syndrome/polycystic ovarian disease

2Present address: Dahlemer Ring 15,22045 Hamburg, Germany


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