Book contents
- Ovarian Stimulation
- Ovarian Stimulation
- Copyright page
- Dedication
- Contents
- Contributors
- About the Editors
- Foreword
- Preface to the first edition
- Preface to the second edition
- Section 1 Mild Forms of Ovarian Stimulation
- Section 2 Ovarian Hyperstimulation for IVF
- Section 3 Difficulties and Complications of Ovarian Stimulation and Implantation
- Chapter 12 Ovarian Stimulation in Difficult IVF Cases
- Chapter 13 Polycystic Ovary Syndrome: Ovulation Induction Strategies
- Chapter 14 Polycystic Ovary Syndrome: Controlled Ovarian Stimulation
- Chapter 15 Prevention of Ovarian Hyperstimulation Syndrome
- Chapter 16 Treatment of Ovarian Hyperstimulation Syndrome
- Chapter 17 How to Individualize Ovarian Stimulation Protocols to Avoid Difficulties and Complications
- Chapter 18 Endometrial Receptivity
- Chapter 19 Folliculogenesis and Implantation Failure
- Section 4 Non-conventional Forms Used during Ovarian Stimulation
- Section 5 Alternatives to Ovarian Hyperstimulation and Delayed Transfer
- Section 6 Procedures before, during, and after Ovarian Stimulation
- Index
- References
Chapter 14 - Polycystic Ovary Syndrome: Controlled Ovarian Stimulation
from Section 3 - Difficulties and Complications of Ovarian Stimulation and Implantation
Published online by Cambridge University Press: 14 April 2022
- Ovarian Stimulation
- Ovarian Stimulation
- Copyright page
- Dedication
- Contents
- Contributors
- About the Editors
- Foreword
- Preface to the first edition
- Preface to the second edition
- Section 1 Mild Forms of Ovarian Stimulation
- Section 2 Ovarian Hyperstimulation for IVF
- Section 3 Difficulties and Complications of Ovarian Stimulation and Implantation
- Chapter 12 Ovarian Stimulation in Difficult IVF Cases
- Chapter 13 Polycystic Ovary Syndrome: Ovulation Induction Strategies
- Chapter 14 Polycystic Ovary Syndrome: Controlled Ovarian Stimulation
- Chapter 15 Prevention of Ovarian Hyperstimulation Syndrome
- Chapter 16 Treatment of Ovarian Hyperstimulation Syndrome
- Chapter 17 How to Individualize Ovarian Stimulation Protocols to Avoid Difficulties and Complications
- Chapter 18 Endometrial Receptivity
- Chapter 19 Folliculogenesis and Implantation Failure
- Section 4 Non-conventional Forms Used during Ovarian Stimulation
- Section 5 Alternatives to Ovarian Hyperstimulation and Delayed Transfer
- Section 6 Procedures before, during, and after Ovarian Stimulation
- Index
- References
Summary
Surgical methods of ovulation induction for women with clomiphene (clomifene) citrate-resistant polycystic ovary syndrome (PCOS) include laparoscopic ovarian drilling with diathermy. This technique has replaced the more invasive and damaging technique of ovarian wedge resection first introduced by Gjønnaess in the early 1980s [1]. Laparoscopic ovarian surgery is free from the risks of multiple pregnancy and ovarian hyperstimulation, which makes it an attractive procedure for PCOS women, but surgery is not without risks. The techniques of laparoscopic ovarian diathermy have been described previously [2;3]. Studies suggest that four punctures per ovary with application of diathermy current via needle cautery set at 30 watts for 5 seconds per puncture (i.e., no more than 600 J per ovary) should produce an optimal response. The greater the damage to the surface of the ovary the greater the risk of peri-ovarian adhesions estimated at 60 percent (ranging from 0 to 100 percent) in treated women.
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- Ovarian Stimulation , pp. 132 - 140Publisher: Cambridge University PressPrint publication year: 2022