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

More documents

Recommendations

Info

OBJECTIVECompare the effectiveness of laparoscopic ovarian diathermy (LOD) vsclomiphene citrate plus metformin in infertile patients with CC-resistantpolycystic ovary syndromeRESULTS:No significant difference per cycle was observedPregnancy: (15/92 pts [16.3%] vs 14/107 pts [13.1%]; P = .521)Live-birth (13/92 pts [14.1%] vs 12/107 pts [11.2%]; P = .536)Cox regression analysis: patients under medical treatment, compared withwho received surgical treatment, hada relative risk of pregnancy of 1.2 (95% confidence interval, 0.61-2.44; P = .582)a relative risk of live-birth of 1.4 (95% confidence interval, 0.63-2.96; P = .425).
Infertility treatment of PCOSRecommendationsCounselling and Lifestyle modifications (Obesitynegatively affects the efficacy of any infertility treatment )First-line treatment : CC (max 6 cycles) ± metforminSecond-line intervention : laparoscopic ovariansurgery (LOS) or Gn stimulationThird-line treatment : IVF
Page 1 and 2: PCOS: Laparoscopic ovarian drilling
Page 3 and 4: PCOSDiagnostic criteria :- National
Page 5: Consensus on Infertility treatment
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 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

Create successful ePaper yourself

Delete template?

Save as template?