Ovarian Drilling

Laparoscopic ovarian drilling (LOD) is a minimally invasive surgical procedure used to induce ovulation in women with polycystic ovary syndrome (PCOS) who do not respond to medications like clomiphene citrate or letrozole. It helps restore hormonal balance and improves the chances of natural conception.

Why is Laparoscopic Ovarian Drilling Performed?

This procedure is recommended for women with:

• Polycystic ovary syndrome (PCOS) causing irregular ovulation or anovulation
• Infertility due to hormonal imbalance and resistance to ovulation-inducing medications
• Excess androgen levels leading to symptoms like acne, excessive hair growth (hirsutism), and hair thinning
• Insulin resistance associated with PCOS, affecting ovulatory function

Procedure Overview

Laparoscopic ovarian drilling is performed under general anesthesia and typically takes 30 to 60 minutes. The steps include:

1. Small incisions (usually 2-3) are made in the abdomen.
2. Carbon dioxide (CO₂) gas is introduced to expand the abdomen for better visibility.
3. A laparoscope (thin, lighted telescope) is inserted through one incision.
4. The surgeon uses a laser or electrocautery to create small holes (drilling) in the ovarian surface, reducing androgen production and restoring normal ovulation.
5. The incisions are closed with dissolvable sutures.

Benefits of Laparoscopic Ovarian Drilling

• Restores Natural Ovulation: Many women begin ovulating within 6 weeks after the procedure.
• Increases Pregnancy Chances: Especially for women resistant to ovulation-inducing medications.
• Reduces Androgen Levels: Helps improve acne, hirsutism, and other PCOS symptoms.
• Minimally Invasive: Small incisions lead to faster healing and minimal scarring.
• Short Recovery Time: Most women resume normal activities within 1 week.

What to Expect After the Procedure?

• Mild abdominal pain and bloating due to CO₂ gas (may cause shoulder pain)
• Light spotting or vaginal discharge for a few days
• Fatigue for a few days, improving gradually
• Menstrual cycles may regulate within a few weeks

When to Seek Medical Attention?

Contact your doctor if you experience:

• Severe or persistent abdominal pain
• Heavy vaginal bleeding or foul-smelling discharge
• Fever or chills (signs of infection)
• Difficulty urinating or severe nausea

Conclusion

Laparoscopic ovarian drilling is a safe and effective treatment for women with PCOS-related infertility. It enhances natural ovulation, improves hormonal balance, and increases the chances of conception.

For expert consultation, Dr. Apoorva Pallam Reddy offers advanced laparoscopic fertility treatments to help women achieve successful pregnancy outcomes.