Predictive value of serum androstenedione basal levels on the choice of gonadotropin or laparoscopic ovarian electrocautery as ovulation induction inclomiphene citrate-resistant patients with polycystic ovary syndrome

Therapeutic approaches to chronic anovulation from polycystic ovaries in cl omiphene-resistant infertile patients are under debate. This study discusse s evidence that supports the possible predictive value of serum basal level of androstenedione in the choice of the better therapy between laparoscopi c ovarian electrocautery and ovulation induction. Lower androstenedione lev els seem to be correlated with a better ovarian response after ovulation in duction with gonadotropins, while high androstenedione levels are associate d with a higher incidence of conception after laparoscopic ovarian electroc autery. Obesity doer not seem to represent a hindrance to laparoscopic trea tment.