Professional
Technical
In the Industry Vocabulary Test
ovarian drilling
A laparoscopic fertility treatment for PCOS involving electrocautery or laser punctures in the ovarian surface to restore ovulation.
Full Definition
A minimally invasive surgical procedure used to treat polycystic ovary syndrome (PCOS) and restore ovulation in women with clomiphene-resistant anovulation. The procedure involves making multiple small punctures or burns in the ovarian cortex using electrocautery, laser, or diathermy through laparoscopic access. The mechanism is thought to involve destruction of androgen-producing stromal tissue and reduction of anti-Müllerian hormone levels, leading to resumption of normal ovulatory cycles.
Usage
Usage note: Document energy settings, number of punctures, and ovarian positioning during procedure.
In Context
- "Bilateral ovarian drilling was performed using monopolar diathermy at 40 watts." — Operative report
- "The patient achieved spontaneous ovulation three months after ovarian drilling." — Follow-up note
Also known as
laparoscopic ovarian diathermy
ovarian puncture
Don't confuse with
oophorectomy
ovarian cystectomy