CLINICAL AND ENDOCRINE EFFECT OF LAPAROSC OPIC SURGERY IN PATIENTS WITH POLYCYSTIC-OVARY-SYNDROME (PCO)

Objectives: Is minimal invasive ovarian surgery an alternative inferti lity treatment for patients with polycystic ovary (PCO) syndrome? Meth odology: 52 anovulatory patients with the clinical and endocrine chara cteristics of PCO syndrome were treated with laparoscopic Nd: YAK (n = 11) or CO2 (n = 41) laser surgery to drain atretic follicles and dest roy the ovarian stroma. Results: Following surgical reduction of serum androgen and estrogen levels (p < 0,01), 83% of the PCO patients ovul ated spontaneously or following ovulation induction, pregnancies occur red in 38%. At re-laparoscopies, 86% of patients had no periovarian ad hesions. Conclusions: Since laparoscopic laser surgery is capable of i nducing profound clinical and endocrine effects, it may represents a f easible alternative for infertility treatment in PCO patients.