Search

Skip to main content Accessibility help

Home
Search

Only show content I have access to (0)

Chapters (1)

Over 3 years (1)

From year:

To year:

Apply

Medicine (1)

gonadotrophin treatment

Cambridge University Press (1)

View selected items
Save to my bookmarks
Export citations
Download PDF (zip)
Save to Kindle
Save to Dropbox
Save to Google Drive
Save content to
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to .

To save content items to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Please be advised that item(s) you selected are not available.
You are about to save
Your Kindle email address

Please provide your Kindle email.

@free.kindle.com @kindle.com (service fees apply)

By using this service, you agree that you will only keep content for personal use, and will not openly distribute them via Dropbox, Google Drive or other file sharing services

1 results

31 - Surgical Management of Polycystic Ovary Syndrome
from PART II - INFERTILITY EVALUATION AND TREATMENT
- By Hakan Yarali, Gurkan Bozdag, Ibrahim Esinler
Edited by Botros R. M. B. Rizk, University of South Alabama, Juan A. Garcia-Velasco, Hassan N. Sallam, Antonis Makrigiannakis, University of Crete
Book:

Infertility and Assisted Reproduction

Published online:

04 August 2010

Print publication:

15 September 2008, pp 294-301
- Chapter
- - Get access
    
    Check if you have access via personal or institutional login
    
    Log in Register
- Export citation
Summary

This chapter focuses on the surgical management of polycystic ovary syndrome (PCOS). The mechanism of action of laparoscopic ovarian drilling (LOD) is unclear. Its beneficial effect is apparently due to destruction of the androgen-producing stroma. Patients who were resistant to clomiphene citrate (CC) may respond to this medication after the procedure. Sensitivity to exogenous gonadotrophin treatment is increased. Gonadotrophin treatment following LOD is associated with a lower duration of stimulation, lower total dose of gonadotrophins, and higher pregnancy rates. LOD and metformin therapy improve menstrual disturbances and ovulatory dysfunction to a similar extent. The pregnancy rates after both treatments are also similar, but the safety of metformin in pregnancy is unproven. The improvement in hyperandrogenism is thought to be secondary to the reduction in LH concentrations and the decreased androgen production by the ovarian stroma.

Search Results

Refine search

Refine search

Actions for selected content:

1 results

31 - Surgical Management of Polycystic Ovary Syndrome

Summary

Search Results

Refine search

Refine search

Actions for selected content:

Save Search

1 results

31 - Surgical Management of Polycystic Ovary Syndrome

Summary