Ovarian Drilling

What is Ovarian Drilling?

Ovarian Drilling is a surgical procedure performed laparoscopically for the treatment of polycystic ovary syndrome (PCOS). PCOS may cause irregular menstrual periods which means it is hard to get pregnant. 

Women who have PCOS are the candidates for laparoscopic ovarian drilling surgery. PCOS causes a thick outer surface on the ovaries which present the production of high testosterone levels. The increase of the testosterone hormone in the ovaries can lead to irregular menstrual periods. Laparoscopic ovarian drilling aims to reduce the amount of testosterone. After laparoscopic ovarian drilling surgery, the individuals can start regular monthly menstrual cycles and the ovaries can release an egg each month which means the individual can get pregnant. 

Laparoscopic ovarian drilling is a safe and effective surgical treatment for infertile women with anovulatory PCOS. 

How is Ovarian Drilling Done?

Laparoscopic ovarian drilling is done under general anesthesia and takes around 30 minutes. It is a minimally invasive procedure.  

During the ovarian drilling surgery, the surgeon opens a small incision near the belly button and a few more incisions in the pelvic area. These are the points where all the procedures will be operated laparoscopically. 

The surgeon monitors the ovaries with the help of a laparoscope tool inserted through the incision and drills holes in the ovary with the help of surgical tools inserted through the incisions in the pelvic area. Generally to destroy the tissue that’s producing androgens 8 to 10 holes in each ovary will be drilled. 

What is the Success Rate of Pregnancy After Ovarian Drilling? 

Studies show that pregnancy success rates after ovarian drilling surgery ranges from around 61%. At our associated centers, 50% of women get pregnant through this procedure. 

What are The Risks of Laparoscopic Ovarian Drilling?

As with any other surgery laparoscopic ovarian drilling has also some risks to consider… 

  • Infection in or around the incision is a common risk that can be controlled by medications.
  • Bleeding from the incision is also a common risk of laparoscopic surgeries.
  • Internal bleeding is rare but possible. 
  • A Viewing tool (laparoscope) could damage the internal organs or major blood vessels.
  • During the ovarian drilling surgery, the surgeon will inflate the belly with a small amount of air which lets the laparoscope in without giving harm to the internal organs. This procedure may cause pain during healing. 

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