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Ovarian drilling and ovarian wedge resection are treatment options to reduce the amount of androgen producing tissue in women with polycystic ovarian syndrome (PCOS). [4] PCOS is the primary cause of anovulation, which results in female infertility. [5] The induction of mono-ovulatory cycles can restore fertility. [6]
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. [14]
Clomifene citrate (Clomid is a common brand name) is the medication which is most commonly used to treat anovulation. It is a selective estrogen-receptor modulator, affecting the hypothalamic–pituitary–gonadal axis to respond as if there was an estrogen deficit in the body, in effect increasing the production of follicle-stimulating hormone.
OHSS is a potential side effect of stimulating the ovaries to produce multiple eggs at the same time either during the first part of an IVF cycle or when planning to freeze eggs, reproductive ...
Ovarian hyperstimulation syndrome (OHSS) is a medical condition that can occur in some women who take fertility medication to stimulate egg growth, and in other women in sporadic cases. Most cases are mild, but rarely the condition is severe and can lead to serious illness or even death.
It is cheaper and easier to perform than controlled ovarian hyperstimulation, and is therefore the preferred initial stimulation protocol in menstrual disorders including anovulation and oligoovulation. In vitro maturation is letting ovarian follicles mature in vitro, and with this technique ovarian hyperstimulation is not essential. Rather ...
TVOR is typically performed after ovarian hyperstimulation, where oocytes are pharmacologically stimulated to mature. When the ovarian follicles have reached a certain degree of development, induction of final oocyte maturation is performed, generally by an intramuscular or subcutaneous injection of human chorionic gonadotropin (hCG). [10]
[3] [4] Fertility often returns quickly following removal. [2] Side effects include irregular periods, benign ovarian cysts, pelvic pain, and depression. [2] Rarely uterine perforation may occur. [2] Use is not recommended during pregnancy but is safe with breastfeeding. [2] The IUD with progestogen is a type of long-acting reversible birth ...
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