PCOS: Laparoscopic Laparoscopic ovarian drilling or ... - eshre

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LOD vs Gn?EfficacyLODGnOvulatory cycles 78% 90%PR/cycle9% 15%Miscarriage rate 14% 16%LBR6 months follow –upvs 3 FSH cyclesLBR12 months ± medical ovulationvs 6 FSH cyclesLBR after 24 months ±medicalovulation15% 20%67%Only LOD 34%Plus CC 49%Plus Gn 67%82%60%
LOD vs Gn?Safety and costsLODGn ( step-up lowdose)Monofollicular ovulation 100% 73%Multiple PR 1% 17%OHSS 0% 3%Risks related to surgery Present AbsentAhesions formation Low risk (< 10 holes) AbsentPremature ovarian failure Rare (< 10 holes) AbsentQuality of lifeNo differencesCosts / term pregnancy 11.301 € 14.489 €Duration of the beneficialeffectYears ( few data )Stimulated cycles
Page 1 and 2: PCOS: Laparoscopic ovarian drilling
Page 3 and 4: PCOSDiagnostic criteria :- National
Page 5 and 6: Consensus on Infertility treatment
Page 7 and 8: Infertility treatment of PCOSRecomm
Page 9 and 10: Factors to guide for patient-tailor
Page 11 and 12: Factors to guide for patient-tailor
Page 13 and 14: 2009The aim of this study was to te
Page 15 and 16: Clomiphene CitrateStarting dose 50
Page 17 and 18: Clomiphene CitrateGhobadi et al tes
Page 20 and 21: CC + lwo FSH doses (± IUI )Ovulati
Page 22 and 23: Oocyte competenceMeiotic maturation
Page 24 and 25: High level of LeptinLeptin is a Pro
Page 26 and 27: Ovarian surgical treatment for PCOS
Page 28 and 29: Laparoscopic Ovarian Drilling (LOD)
Page 30 and 31: Mechanism of action of LOD : unclea
Page 32 and 33: Low -dose Gn protocolsStep - up( 3
Page 34 and 35: PCOS in ARTGnRH antagonistSingle do
Page 38 and 39: LOD vs Gn?SpecificindicationsAmer e
Page 40 and 41: LOD or Gn stimulation ?Second - lin
Page 42 and 43: IVF LITE in PCOSCycles 42Patients 2
Page 44 and 45: Ovarian drilling : different approa
Page 46 and 47: PCOS patients undergoing ART vs Con
Page 48 and 49: Results ( 24 PCOS)Before TVODAfter
Page 50 and 51: US guided transvaginal ovarian dril

PCOS: Laparoscopic Laparoscopic ovarian drilling or ... - eshre

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