Outcome of Ovarian Diathermy in Infertile patients with Polycystic Ovarian Disease

Sadia Razaq, Nargis Danish, Aziz un Nisa Abbasi, Abdus Salam

Abstract


Background: Polycystic ovarian disease is a heterogeneous disorder characterized by disruption of the regular processes leading to ovulation. The majority of women anovulation leading to infertility. This study was carried out to determine the outcome of ovarian diathermy in infertile patients with polycystic ovarian disease.

Methodology: It was a descriptive study conducted at Department of Obstetrics Gynaecology, Ayub Teaching Hospital, Abbottabad from July 2004 to June 2005. The study population included all cases presenting with primary or secondary infertility due to polycystic ovarian disease. All study subjects underwent a complete clinical workup including history, physical examination, relevant investigations. Minilaparotomy and ovarian diathermy was performed in all patients. A regular follow-up was done for ovulation and conception rates for one year. The data were collected on predesigned proforma and analysed by SPSS version 10.

Results: Eighteen (58.1%) patients presented with primary infertility, while 13(41.9%) had secondary infertility. Ovulation occurred in 21(67.7%) cases, while 16(51.6%) cases conceived the pregnancy. Nine (50.0%) cases with primary infertility and 12(92.3%) with secondary infertility had positive ovulation, p=0.013. Conception occurred in 6(33.3%) cases of primary infertility and 10 (76.9%) cases of secondary infertility, p=0.017.

Conclusion: Ovarian drilling by diathermy results in ovulation and conception in significant number of infertile patients with clomiphene resistant polycystic ovarian disease.


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