EVALUATE EFFICACY AND SAFETY OF THE LAPAROSCOPIC OVARIAN DRILLING IN WOMEN SUFFERING FROM ANOVULATORY INFERTILITY IN PCOD.

Abstract

Introduction: Polycystic ovarian disease is the common cause of infertility in women of reproductive age. Initially, it is treated conservatively but latter on procedure can be applied if the medical therapy trials fail to respond. Clomiphene citrate is the common drug used. It successfully treats PCOD in majority of the patients. Among the surgical options, the best option with many advantages is laparoscopic ovarian drilling that is minimally invasive with better results. It enhances the sensitivity of ovary to gonadotropins. Objective:-To detect the effectiveness and find out safety of LOD in women of infertility due to presence of Ovarian Cysts. Methodolgy:-This is a cross sectional study done in Deptt of Gyn/Obs at PMCH Nawabshah. Only non pregnant ladies aged from 23 to 35 were taken for the study. Duration of study was one year. Inclusion and exclusion criteria were also strictly followed. Patients were optimized and treated accordingly. Results: Age of patients was between 23-35 years only. 22 (59.45%) patients were form 29-31 years. After Laparoscopic ovarian drilling (LOD), spontaneous pregnancy was found among 32 (86.4%) patients. 1 (2.85) patients had ectopic pregnancy. Infertility was seen in 4 (10.8%) patients. After LOD, 7 (18.9%) had postoperative pain. 1 (2.7%) had infection and 1 patient had bleeding. No iatrogenic injury to viscera and no any case were noted to have anesthesia related complications. Conclusion: - It is concluded that LOD is the best procedure with maximum efficacy and safety.
KEYWPRDS: Infertility, Reproductive, Clomiphene Citrate, Ectopic.