Top
20
Doctor insights on: Ovarian Drilling Pcos

Share
1

1
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
1,226 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


2

2
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

3

3
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

4

4
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

5

5
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

7

7
Is single ovarian cyst may turn into pcos?

Is single ovarian cyst may turn into pcos?

No: Ovarian cysts are common and typically resolve spontaneously fairly quickly. Polycystic ovarian disease is a specific problem that affects the ovaries long term. ...Read more

8

8
Polycystic ovarian disease treatment if ttc?

Polycystic ovarian disease treatment if ttc?

Multi fold: Improving ovulation with medication. Also reducing male hormone levels either with Insulin sensitizing agent and potentially with corticosteroids. ...Read more

See 1 more doctor answer
9

9
Polycystic ovarian disease ever experience pregnancy?

Polycystic ovarian disease ever experience pregnancy?

Yes!: Many women with pcos do conceive on their own, especially if they are healthy and maintain a proper diet and exercise program. If they need help, our treatments are phenomenally successful! ...Read more

See 1 more doctor answer
10

10
Can I have multiple ovarian cysts without having pcos?

Can I have multiple ovarian cysts without having pcos?

Yes for sure: PCOS is more than just ovarian cysts it is also hormone abnormalities . irregular menses and insulin resistance. ...Read more

11

11
Could polycystic ovarian syndrome without ovarian cysts?

Could polycystic ovarian syndrome without ovarian cysts?

No.: Ovaries having cysts is part of the syndrome. There are some medical conditions that can mimic some of the symptoms of PCOS, such as metabolic syndrome. A complete history and workup would aid in identifying this. ...Read more

See 1 more doctor answer
12

12
Polycystic ovarian disease in pregnancy? Any bad effects?

Polycystic ovarian disease in pregnancy? Any bad effects?

Gestational DM: Pcos women tend to be Insulin resistant so have a higher propensity toward gestational diabetes in pregnancy. ...Read more

13

13
Can complex ovarian cysts cause polycystic ovarian disease?

Can complex ovarian cysts cause polycystic ovarian disease?

No: The term complex ovarian cyst indicates that an imaging study, usually ultrasound, shows a cyst with internal echoes, septation, or irregular or thickened cyst walls. They should be aggressively investigated as some of these cysts may be cancerous. Polycystic ovaries are usually enlarged and contain multiple small cysts just under the surface of the ovary. They mainly produce hormone imbalances. ...Read more

See 2 more doctor answers
15

15
What medication can shrink or diminish ovarian cysts (pcos)?

What medication can shrink or diminish ovarian cysts (pcos)?

PCOS: No medicine shrinks the cysts of pcos, but metformin can be used to fix the Insulin resistance. Spironolactone is used block the androgen effects while birth control pills are used to help bind more androgen indirectly. ...Read more

16

16
What is the best way to treat anemia and polycystic ovarian syndrome?

Anemia and PCOS: There are many causes of anemia, and the treatment is different for the different types. Pcos also is a complex disease and has different treatment. The best thing to do is see your doctor for an examination and receive proper treatment for all your ailments. ...Read more

See 1 more doctor answer
17

17
What is the best way to treat anemia with polycystic ovarian syndrome?

What is the best way to treat anemia with polycystic ovarian syndrome?

Usually iron: The most common cause of anemia in patients with polycystic ovarian syndrome is blood loss causing iron defficiency. Many other causes of anemia are possible, so one should have their doctor work this up with a couple of inexpensive blood tests to be sure. Iron rich foods include red meat, but also spinach, beans and other vegetables. ...Read more

19

19
How can you get rid of polycystic ovarian disease so you can have a baby?

How can you get rid of polycystic ovarian disease so you can have a baby?

Diet and exercise: Weight loss can help an obese pcos person conceive. Many women with the disorder can't get rid of it due to genetics, but rather can try to control it. Great treatments are available to help you conceive! see a board certified reproductive endocrinologist who can treat you! ...Read more

See 1 more doctor answer