Polycystic Ovary Syndrome (PCOS) - Surgery
Surgical treatment is sometimes used for
women with infertility caused by
polycystic ovary syndrome (PCOS) who do not start
ovulating after taking medicine. During surgery, ovarian function is improved
by reducing the number of small cysts.
- Ovarian wedge resection is the surgical
removal of part of an ovary. This is done to help regulate menstrual cycles and
start normal ovulation. It is rarely used now because of the possibility of
damaging the ovary and creating scar tissue.
- Laparoscopic ovarian drilling is a surgical treatment
that can trigger ovulation in women who have PCOS and who have not responded to weight
loss and fertility medicine. Electrocautery or a laser is used to destroy
portions of the ovaries.
What to think about
Surgery for PCOS may be recommended only if you have not responded to any other
treatment for PCOS. Each woman will want to discuss the risks and benefits of
this surgery with her doctor. Surgery is less likely to lead to multiple
pregnancies than taking fertility medicines. It is not known how long the
benefits from surgery will last. There is some concern that ovarian surgery can
cause scar tissue, which can lead to pain or more fertility problems.