LAP Ovarian Drilling
Polycystic Ovary Syndrome (PCOS) is a common condition affecting many women, often leading to challenges with ovulation and fertility. At Sahaj Hospital, Indore, we provide advanced treatment options, including Laparoscopic Ovarian Drilling (LOD), to support women in overcoming infertility caused by PCOS.
Our expert team offers personalized care to help manage PCOS effectively and improve the chances of conception when other methods have not succeeded.
Our Specialties
Understanding Laparoscopic Ovarian Drilling
Laparoscopic ovarian drilling is a minimally invasive surgical procedure designed to trigger ovulation in women with PCOS who have not responded to conservative treatments like weight management or fertility medications. The procedure involves using a laparoscope and specialized surgical instruments to access the ovaries through small abdominal incisions. Electrocautery or laser technology is used to create tiny punctures in the ovarian surface, destroying portions of the tissue that contribute to hormonal imbalances and disrupted ovulation.
Key Steps in the Procedure:
- A small incision is made in the abdominal or pelvic region.
- Carbon dioxide gas is introduced to inflate the abdomen, enabling clear visualization of internal organs.
- The laparoscope and surgical instruments are carefully inserted.
- Electrocautery or a laser is used to make precise punctures in the ovaries.
- After the procedure, the instruments are removed, and the incisions are closed.
Why Choose Laparoscopic Ovarian Drilling?
LOD is often recommended for women who have not achieved successful ovulation through other treatments. By reducing the ovarian tissue responsible for excessive androgen production, the procedure helps restore hormonal balance and promote regular ovulation cycles.
This treatment is particularly beneficial for women dealing with infertility due to PCOS and offers a non-pharmacological approach when medications have failed.
Benefits and Risks of Ovarian Drilling
Benefits:
- Increases the likelihood of regular ovulation.
- Improves chances of conception, with pregnancy rates reaching around 50%.
- Reduces miscarriage rates, as highlighted by studies such as Amer et al. (2002), which reported a significant drop in miscarriage rates post-procedure.
Risks:
Like any surgical procedure, laparoscopic ovarian drilling carries some risks:
- Mild risk of bleeding or infection.
- Potential damage to internal organs due to surgical instruments.
- Over-treatment of ovarian tissue may reduce egg production, increasing the risk of early menopause.
- Scar tissue formation between ovaries and fallopian tubes could potentially delay conception.
At Sahaj Hospital, we ensure thorough preoperative evaluations and tailored surgical approaches to minimize these risks and optimize outcomes.
What to Expect After Surgery
Recovery after laparoscopic ovarian drilling is generally quick:
- Most patients can go home within a few hours of the procedure.
- Normal daily activities can often be resumed within 24 hours, depending on individual recovery.
- Complete recovery typically occurs within 2 to 4 weeks.