Magnetic Resonance Elastography Allows Quantitative Assessment of Uterine Leiomyomas Taran AF
OBJECTIVE: To evaluate the tissue damage of in vitro porcine ovarian drilling in saline solution mimicking transvaginal hydrolaparoscopy (THL).
STUDY DESIGN: In vitro ovarian drilling with different current and activation time was applied on fresh porcine ovaries, 15 ovaries in each group and 2 punctures in each ovary. Drilling using 5-Fr bipolar needle was performed in saline solution mimicking THL, while saline solution rinsing the ovaries after monopolar electrocoagulation. more
Surgical and ART treatment
Several studies has indicated that ovarian surgery (wedge resection or drilling) in some PCOS women can restore ovulation and fertility. The most widely used method today is Laparoscopic Ovarian Drilling (LOD).
The postoperative ovulation rate is reported to be approximately 80%, while the postoperative conception rate 60%. Data from 4 RCTs, comparing the effectiveness of LOD (with or without an ovulation inducing medication) with gonadotropins in CC resistant PCOS women, indicate that there is no difference in ongoing pregnancy, live birth or miscarriage rates. On the other hand, the incidence of multiple pregnancies was significantly lower in women treated with LOD than with gonadotropins. more
Objective: To evaluate whether a change takes place in AMH levels reflecting the ovarian reserve after laparoscopic endometrioma stripping surgery and to demonstrate if there is any correlation between AMH levels and the sizes of endometriomas. more