ovarian drilling
Also written as: LOD — Laparoscopic Ovarian Drilling
Laparoscopic procedure using electrocautery to create small holes in polycystic ovaries to restore ovulation.
Full Definition
A fertility treatment for women with polycystic ovary syndrome (PCOS) who are resistant to ovulation induction medications. The procedure involves using monopolar or laser energy to create multiple small perforations in the ovarian cortex, which reduces androgen production and can restore spontaneous ovulation. Each ovary typically receives 4-10 punctures, with each puncture made for 2-4 seconds. The mechanism is thought to involve destruction of androgen-producing stroma and reduction of inhibin levels.
Usage
Usage note: Specific treatment for PCOS; different from ovarian cystectomy or biopsy procedures.
In Context
- "Bilateral ovarian drilling was performed for clomiphene-resistant PCOS." — operative report
- "The patient achieved spontaneous ovulation three months after ovarian drilling." — follow-up documentation