By Sari HarrarSurprising new ways to reverse middle-aged spread.
You diet more than ever, but don’t weigh less. Exercise regularly, but still
feel flabby. And your once perfectly fitting clothes now seem snug.
If you’re nodding your head in agreement, chances are you’re in the over-35
club. Like most members, you probably have a stay-slim formula (something like
regular walks plus no ice cream at night) that no longer seems to be
“If you never had problems losing or maintaining your...
Ovarian drilling is usually done through a small incision (laparoscopy), with
general anesthesia. The surgeon makes a small cut
(incision) in the abdomen at the belly button. The surgeon then places a tube
to inflate the abdomen with a small amount of carbon dioxide gas so that he or
she can insert the viewing instrument (laparoscope) without damage to the
internal organs. The surgeon looks through the laparoscope at the internal
organs. Surgical instruments may be inserted through the same incision or other
small incisions in the pelvic area.
Because the incisions are so small, laparoscopy is often called
What To Expect After Surgery
If you have a laparoscopy procedure, you will likely go home the
same day and can do your normal activities within 24 hours. Your return to
normal activities will depend on how quickly you recover from surgery, which
may take a few days or as long as 2 to 4 weeks.
Why It Is Done
Ovarian drilling is sometimes used for women with PCOS who are
still not ovulating after trying weight loss and fertility medicine. Destroying
part of the ovaries has been reported to restore regular ovulation
How Well It Works
Studies of women with PCOS have shown that ovarian drilling
results in an 80% ovulation rate and a 50% pregnancy rate.1
Younger women and those with a
body mass index in the normal range are most likely to
benefit from laparoscopic ovarian drilling.2
Risks of laparoscopy include:
Infection of the
Bleeding from the incision.
Accidental injury to internal organs or major blood
vessels, from the laparoscope or surgical instruments.
the procedure, from inflating the abdomen with gas.
Adhesions or scarring inside the body.
What To Think About
No randomized controlled trials have been used to study this
treatment for starting ovulation:1
Ovulation and pregnancy rates are based on
reports of about 1,000 women.
Live birth rates, which are the true
measure of treatment success, are not available and are probably less than 50%.
American College of Obstetricians and Gynecologists
(2002, reaffirmed 2008). Management of infertility caused by ovulatory
dysfunction. ACOG Practice Bulletin No. 34. Obstetrics and Gynecology, 99(2): 347-358.
Stegmann BJ, et al. (2003). Characteristics predictive
of response to ovarian diathermy in women with polycystic ovarian syndrome.
American Journal of Obstetrics and Gynecology, 188(5):
Primary Medical Reviewer
Sarah Marshall, MD - Family Medicine
Specialist Medical Reviewer
Kirtly Jones, MD, MD - Obstetrics and Gynecology
January 28, 2010
WebMD Medical Reference from Healthwise
January 28, 2010
This information is not intended to replace the advice of a doctor.
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