Abstract
This research paper presents the results of ovarian reserve estimation for 125 women with the Polycystic Ovary Syndrome (PCOS) who have undergone various methods of surgical treatment - resection of the ovaries, thermokauterisation and drilling by laser (Ho-Yag). Ovarian reserve was estimated according to the amount of antral follicles, level of follitropin and Müllerian inhibiting substance (MIS), also named anti-Müllerian hormone (AMH). Blood flow in ovarian tissue was also examined after various methods of surgical treatment. The study has shown that the gentlest method of surgical treatment is drilling by Ho-Yag laser, which is least likely to injure the tissue of ovaries, and also this method is most effective in enhancing and preserving ovarian reserve.
Highlights
The objective of our research is estimation of ovarian reserve as an index of reproductive health in women with PCOS after application of different types of surgical interference with the use of thermal energy
A lot of patients with PCOS have insufficient ovarian reserve which is necessary to be estimated before surgical treatment and realization of additional therapeutic correction before application of surgical interference (Simrok V.V. et al, 2010; Knochemhauer E.S., 1998)
The women were divided into 3 groups: the 1st group included 45 patients who underwent wedgeshape resection of ovaries (WRO), the 2nd group included 41 women who were operated by thermal cauterization of ovaries (TCO) and the 3rd group 39 women who were operated with HoYag laser drilling of ovaries (LDO)
Summary
A lot of patients with PCOS have insufficient ovarian reserve which is necessary to be estimated before surgical treatment and realization of additional therapeutic correction before application of surgical interference (Simrok V.V. et al, 2010; Knochemhauer E.S., 1998). The objective of our research is estimation of ovarian reserve as an index of reproductive health in women with PCOS after application of different types of surgical interference with the use of thermal energy.
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