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

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LOD vs Gn?SpecificindicationsAmer et al ,2004Retrospective study( 200 PCOSwomen)Saleh et al ,2001Logistic factorsLODPersistent high LHlevels (> 10 IU/ML)Need of laparoscopicevaluationof thepelvisHyperinsulinemiaPatient living too farfrom the hospital forintensive monitoringGnAdvanced age (> 35 ? >38?)Long duration of infertilityObesityMarked hyperandrogenismNo doctor skill for LOD ?
LOD or Gn stimulation ?Second - line intervention after CC failureCC failure :No ovulation up to150mg/day( CC – resistance)LOD or Gn ?to achieve (unifollicular)ovulation and (singleton)live birth
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 36 and 37: LOD vs Gn?EfficacyLODGnOvulatory cy
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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