Hydrolaparoscopy - as an Alternative Method after a Failure of the Pharmacological Therapy for PCOS Induced InfertilityWojciech Pieta1,2, Anna Wilczynska1* and Stanisław Radowicki2
- Corresponding Author:
- Anna Wilczynska
Department of Gynecology and Obstetrics
Miedzyleski Hospital, Warsaw, Poland
E-mail: [email protected]
Received Date: February 17, 2014; Accepted Date: May 18, 2014; Published Date: May 28, 2014
Citation: Pieta W, Wilczynska A, Radowicki S (2014) Hydrolaparoscopy - as an Alternative Method after a Failure of the Pharmacological Therapy for PCOS Induced Infertility. Gynecol Obstet (Sunnyvale) 4:222. doi: 10.4172/2161-0932.1000222
Copyright: © 2014 Pieta W, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objectives: To evaluate the effectivness of hydrolaparoscopy among infertile women with a Polycystic Ovarian Syndrome (PCOS) resistant to clomephine.
Design: Retrospective study including eighteen women with a resistant to clomiphene PCOS induced infertility who underwent hydrolaparoscopy including ovarian drilling with bipolar probe, hysteroscopy and chromopertubation.
Material and methods: Mean age was 31.4 (6.5) years (95% CI: 28-34.6) and mean body mass index 26.6 (6.9) kg/m2 (95% CI: 22.3-30.6). Laparoscopic conversion was required in 3 cases (16.6%) due to a failure of entering Douglas cavity.
Results: Seventeen women (94%) had a positive chromopertubation and 2 women had uterine anomaly (n=1 T-shaped uterine cavity, n=1 endometrial polyp). Transvaginal hydrolaparoscopic ovarian drilling (THLOD) resulted in the successful pregnancy in 10 cases (55.5%). In 5 cases (27%) pregnancy has occurred spontaneously, in the further four cases (22.2%) ovarian stimulation was required and in one case the patient underwent in-vitro Fertilization.
Conclusion: The ovarian drilling by hydrolaparoscopy is a minimally invasive method to treat clomiphene resistant PCOS infertility. In addition it allows to assess the anatomy of the reproductive organs.