AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE
1209 Montgomery Highway • Birmingham, Alabama 35216-2809 • TEL (205) 978-5000 • FAX (205) 978-5005 • E-MAIL firstname.lastname@example.org • URL www.asrm.org
PATIENT FACT SHEET
Ovarian Drilling for Infertility
This fact sheet was developed in collaboration with The Society of Reproductive Surgeons
If you have polycystic ovary syndrome (PCOS), you may
Will I get pregnant after ovarian drilling?
have very irregular cycles. This usually means that you
Your chances of pregnancy are good as long as your
may have difficulty getting pregnant because you don't
menstrual cycles become more regular and no other problems
ovulate or release an egg on a regular basis. This medical
make it hard for you to conceive. In the year after ovarian
condition changes the amount of important substances,
drilling, about half of the patients get pregnant. You are
called hormones, that your body produces. You end up with
less likely to get pregnant with twins or triplets after ovarian
too much testosterone (yes, women, not just men, produce
drilling than if you are taking fertility drugs. However,
your cycles may become irregular again as time goes by.
Certain medications may be helpful in making the cycles or
Sometimes menstrual cycles do not become more regular
some hormone levels more normal in these patients. Birth
after this surgery, but it may be easier to induce ovulation
control pills can make you have a monthly cycle, but will
with fertility drugs after the surgery.
prevent you from becoming pregnant. Clomiphene, a fertilitydrug that is taken by mouth, may help you ovulate on a
What are the risks of ovarian drilling?
more regular basis. Metformin lowers insulin levels and is
This surgery could cause injury to your intestines, bladder,
generally reserved for PCOS patients who have problems
blood vessels, and ureter. You could also have bleeding, an
with insulin levels. All of these drugs may improve the
infection, or a reaction to anesthesia. There is a risk of
The use of a surgical procedure called ovarian drilling can
If there is too much damage to the ovary, you may run out
help promote normal menstrual cycles and lower testosterone
of eggs at a younger age and go through menopause (which
levels. This may make it easier for you to get pregnant.
is when you stop getting your period). After the surgery,adhesions or scar tissue can form between the ovaries and
What happens if I have too much testosterone?
the fallopian tube, which carries the egg out of the ovary
High levels of testosterone cause some symptoms of
into the uterus. If you develop adhesions, it may be more
PCOS. You may have more body hair than most women. In
addition, you may be overweight. Your periods may beirregular. Your ovaries may not release eggs every month,so you probably don't ovulate regularly and you may havea difficult time becoming pregnant.
What is ovarian drilling?
In patients with PCOS, your ovaries typically have a thick
outer surface and you may produce more testosterone than
women without PCOS. Ovarian drilling breaks through the
thick outer surface and the drilling also reduces the amount
of testosterone your ovaries make. In this laparoscopic
(minimally invasive) procedure, a tiny camera attached to a
thin telescope is inserted into a small incision (surgical
opening) below your belly button. Special tools are inserted
at other on your belly. These tools make very small holes in
your ovaries, which help reduce testosterone production. You
may get your period regularly and you should start to ovulate.
The American Society for Reproductive Medicine grants permission to photocopy this fact sheet and distribute it to patients.
KC Health Coordinator for the UK Beagle Clubs The condition is seen in other breeds of dog too but Beagles along with Bernese Mountain Dogs, Duck Tolling Retrievers and Springer Spaniels seem to be over-represented in the canine population. It is primarily a disease of the younger dog, most often being seen around 6-8months of age for the first time although it has been seen as young as 10 weeks
Irish Medicines Board IRISH MEDICINES BOARD ACT 1995 EUROPEAN COMMUNITIES (ANIMAL REMEDIES) (No. 2) REGULATIONS 2007 (S.I. No. 786 of 2007) VPA: 10879/004/001 Case No: 7006318 The Irish Medicines Board in exercise of the powers conferred on it by Animal Remedies (No. 2) Regulations (S.I. No. 786 of 2007) herebygrants to: Chanelle Animal Health Ltd. 7 Rodney Street , Liverpool L