The effect of surgical ovulation induction on cumulative ovulation and pregnancy rates in infertility patients with polycystic ovary syndrome

This study was carried out on 20 infertile PCOS cases who applied to İnönü University Faculty of Medicine Research and Practice Hospital, Obstetrics and Gynecology Polyclinic between August 1995 and March 1997, who were not protected for at least 2 years and did not become pregnant despite using it. medical ovulation induction methods.Gjonnacss technique was applied as laparoscopic unipolar ovarian drilling method. The cases were followed up in terms of ovulation and pregnancy rates for 1 year postoperatively.The cases were followed up in terms of ovulation and pregnancy rates for 1 year postoperatively. Ovulation occurred in 16 patients in the first 3 months after drilling.Nine pregnancies and 1 abortion were observed.Hyperstimulation and multiple pregnancy were not found. The decrease in total testosterone and androstenedione levels on the first postoperative day was statistically significant (p<0.05).The elevation of serum progesterone levels in the 2nd postoperative week was statistically significant (p<0.05).According to these results, we recommend surgical ovulation induction in patients with infertile PCOS who do not respond to medical ovulation induction methods.