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Doctor insights on: Ovarian Drilling Pcos

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Considering ovarian drilling for PCOS high LH:FSH ratio, irreg cycles, cystic acne, insomnia, feels miserable. Does it really DESTROY part of ovary?

Considering ovarian drilling for PCOS high LH:FSH ratio, irreg cycles, cystic acne, insomnia, feels miserable. Does it really DESTROY part of ovary?

Yes, but wait...: technically, it HAS to, right? The word, itself "drilling" means making a hole. To make a hole you have to take SOME stuff out, right? But that doesn't mean you won't have enough left over to still do what you need them to do. Ovaries have thousands and thousands of eggs, and women only use a few hundred in a lifetime. That said, I am NOT endorsing any specific procedure for you, as I HAVENT SEENU ...Read more

Dr. Dennis Higginbotham
1,197 doctors shared insights

Polycystic Ovarian Syndrome (Definition)

See the link below: https://www.healthtap.com/#publications/2039180 It is what Dr. Khurram Rehman wrote, but has the detail of an article for those interested in ...Read more


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Is it normal to get cramps before ovulation.?I have pcos, had ovarian drilling done 2m ago and now tracking if I am ovulating regularly!

Is it normal to get cramps before ovulation.?I have pcos, had ovarian drilling done 2m ago and now tracking if I am ovulating regularly!

Yes: Some but not all women have discomfort which could be described as cramping at the time of ovulation it is called mittelsmirtz (german for middle pain). You could try ovulation prediction tests which are available over the counter which measures your lh surge (a marker of ovulation). ...Read more

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I have pcos and i will be going for ovarian drilling soon after five cycles of clomid (clomiphene). What is the success rate for pregnancy with this procedure?

I have pcos and i will be going for ovarian drilling soon after five cycles of clomid (clomiphene). What is the success rate for pregnancy with this procedure?

Drilling: In your situation, your two options are ovarian drilling or gonadotropin therapy (somewhat similar to ivf therapies). These two have similar pregnancy rates - about 55% success over 6 months, although some studies show success rates as low as 20%. Gonadotropin therapy is more time intensive and more expensive, but does not require surgery. Drilling might hasten menopause- but not definitely proven. ...Read more

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Im 1.65m and 60 kilos. Age 25 been ttc for 2 years. Have pcos. Clomid (clomiphene) 100mg helped growing an egg of 16mm. Is ovarian drilling a good option for me?

Im 1.65m and 60 kilos. Age 25 been ttc for 2 years. Have pcos. Clomid (clomiphene) 100mg helped growing an egg of 16mm. Is ovarian drilling  a good option for me?

Drilling: Going to Clomid (clomiphene) 150mg would be a mistake. Therefore you are looking at gonadotropin meds vs. ovarian drilling. Both of these are good options if you have a competent infertility team/consultant. Statistically, these are equal in efficacy. if you are high risk surgically, gonadotropin rx is better. Otherwise, I would say these options are pretty equal. ...Read more

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I have PCOS and a period 35 - 50 days. Some women don't have this privilege. My LH,FSH ratio is 3:1. I want ovarian drilling. Dysmenorrhea. Should I?

I have PCOS and a period 35 - 50 days. Some women don't have this privilege. My LH,FSH ratio is 3:1. I want ovarian drilling. Dysmenorrhea. Should I?

No: Ovarian drilling is very rare now. First it kills lots of your eggs so you may have infertility from it and may have an earlier menopause. Also it can cause scar tissue in your belly which can cause more pain symptoms. PCOS should not cause painful periods unless they are very heavy and irregular. Likely you would benefit from seeing a specialist ...Read more

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I had an operative laparoscopy and ovarian cyst drilling in april. Fertility was a problem (pcos) how long it takes to get pregnant?

I had an operative laparoscopy and ovarian cyst drilling in april. Fertility was a problem (pcos) how long it takes to get pregnant?

Depends: Drilling is rarely done anymore. It is no more effective than ovulation medicines. If you periods are now very regular after the surgery, then hopefully you have a chance to become pregnant. If your periods are still irregular now, then the surgery will not provide benefit so fertility treatment would be in order. Drilling can cause significant scarring so a xray of the tubes would be helpful. ...Read more

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What is the treatment for polycystic ovarian disease pco?

What is the treatment for polycystic ovarian disease pco?

Depends, TTC or not?: If not trying to conceive birth control pills are often used, sometimes with antiandrogens like spironolactone as well to decrease acne/hair growth more than bc pills alone. If trying to conceive we use Insulin sensitizers like metformin, plus ovulation-inducing tablets - most commonly Clomid (clomiphene) or Letrozole - sometimes low-dose shots or ivf if needed. Surgery for pcos is no longer a good option. ...Read more

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Polycystic ovarian syndrome (pcos) and hirsuitism. What can help?

Polycystic ovarian syndrome (pcos) and hirsuitism. What can help?

Varies: Many women improve by using ocp's for cycle control and ovarian suppression - this gradually decreases the elevated testosterone that cause the hirsuitism.. There are also medications that can block the elevated testosterone and minimize the progression of the hirsuitism. ...Read more

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Pcos (polycystic ovarian syndrome), what can you do to lose weight?

Pcos (polycystic ovarian syndrome), what can you do to lose weight?

Low carbs and sugars: Patients with PCOS may have insuln resistance that causes weight gain. Diet changes such as low carbs and low sugars may help. Otherwise, using additional medications such as Glucophage (metformin)( nongeneric) assist in weight loss by assisting in breaking down sugars and will assist in Weight loss. Using Metformin which is generic may help but does have side effects and does not help as much as Glucophage (metformin). ...Read more

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Hi I am dignosed as pcos polycytic ovarian syndrome so now i wanna conceive so what I have to do?

Hi I am dignosed as pcos polycytic ovarian syndrome so now i wanna conceive so what I have to do?

Depends: If you have very irregular periods (more than 35 days apart) then you probably need to see a gynecologist or infertility specialist for some additional tests (semen analysis for your partner, maybe a test to see if your fallopian tubes are scarred) then discuss treatments which may include medications like clomid, (clomiphene) or more intensive treatments (inseminations, injections). Start prenatals, etc. ...Read more