ovarian drilling
Surgical procedure using laser or electrocautery to create small holes in polycystic ovaries to restore ovulation.
Full Definition
Ovarian drilling, also known as laparoscopic ovarian diathermy (LOD), is a minimally invasive surgical procedure performed to treat anovulation in women with polycystic ovary syndrome (PCOS). The procedure involves using laser energy or electrocautery to create multiple small punctures in the ovarian surface, which helps restore normal ovulation by reducing androgen production and improving insulin sensitivity. This intervention is typically considered for PCOS patients who have not responded to first-line ovulation induction medications like clomiphene citrate or metformin. The procedure can result in spontaneous ovulation resumption and improved fertility outcomes, though effects may diminish over time. Ovarian drilling is usually performed laparoscopically as a day-case procedure with relatively low complication rates.
Usage
Usage note: Specify method used (laser vs. electrocautery); distinguish from other ovarian procedures.
In Context
- "Bilateral ovarian drilling was performed laparoscopically for clomiphene-resistant PCOS." — Operative report
- "The patient achieved spontaneous ovulation three months after ovarian drilling." — Follow-up note