A member asked:

With pcos how long does one try hormone therapy before trying surgery?

4 doctors weighed in across 2 answers
Dr. Khurram Rehman answered

Specializes in Fertility Medicine

Never needs surgery: In the 1970s & 80s surgery was used to treat polycystic ovarian syndrome (pcos) - wedge resection, removing a slice of each ovary, or drilling of the ovaries where many holes are burned with laser or electricity - pictured. These procedures damage the ovaries, reduce egg supply (ovarian reserve) and can cause scarring around the ovaries, so are no longer needed. Medications or ivf are used instead.

Answered 12/9/2013

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Dr. Dennis Higginbotham answered

Specializes in American Board of Obstetrics and Gynecology

No standard: If you mean in the attempt to conceive, the timing would be quite variable as surgery would offer little advantage over fertility medications for most women with pcos. If you mean for pelvic pressure and pain that some women experience with pcos - then several months of hormonal management would be adequate before proceeding to surgical evaluation and treatment.

Answered 9/28/2016

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