Effect of Laparoscopic Ovarian Drilling on Doppler Pattern in Patients with Clomiphene Citrate_ Resistant Polycystic Ovarian Syndrome
Nada K. Tawfik
Gynecology Obstetric Department, Faculty of Medicine, Tanta University, Egypt.
Mohamed A. El sharawy
Gynecology Obstetric Department, Faculty of Medicine, Tanta University, Egypt.
Hossam A. Zyton
Radiology Department, Faculty of Medicine, Tanta University, Egypt.
Ahmed T. Soliman
Gynecology Obstetric Department, Faculty of Medicine, Tanta University, Egypt.
*Author to whom correspondence should be addressed.
Abstract
Background: Polycystic ovarian syndrome (PCOs) is a prevalent endocrine condition affecting women throughout their reproductive years. It is the most common cause of ovulation-related infertility, accounting for around 75% of instances of anovulatory infertility. The goal of this study is to see how laparoscopic ovarian drilling affects the Doppler pattern in patients with clomiphene citrate-resistant polycystic ovarian syndrome.
Methods: 50 patients were included, diagnosed as PCO patients according to Rotterdam criteria, 2003 and were planned for LOD.
Results: This study was done at 50 patients was with mean age 29 year, Mean BMI 27.28 Kg/m2,Mean duration of infertility 3.71 years. there were statistically significant decrease in ovarian stromal VI ,FI,VFI and PSV postoperatively, But there was statistically significant increase in ovarian stromal RI postoperatively.
Conclusion: ovarian stromal blood flow indices significantly changed after LOD. Our results provide a potential avenue for evaluation of ovarian stromal blood flow changes after LOD.
Keywords: Drilling, Laparoscopy, clomiphene citrate, polycystic ovarian, syndrome