Laparoscopic ovarian diathermy in the management of anovulatory infertility in women with polycystic ovaries: endocrine changes and clinical outcome
Twenty-one nulliparous oligomenorrheic women with polycystic ovaries, complaining of infertility (mean duration 6 years) refractory to medical treatment, underwent laparoscopic ovarian diathermy. Eleven had adhesions and/or endometriosis. Regular ovulatory cycles ensued in 17 women (81%). In 9 respo...
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| Veröffentlicht in: | Fertility and sterility 1990-01, Vol.53 (1), p.45-49 |
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| container_title | Fertility and sterility |
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| creator | Armar, N. Adjeidu McGarrigle, Hugh H.G. Honour, John Holownia, Peter Jacobs, Howard S. Lachelin, Gillian C.L. |
| description | Twenty-one nulliparous oligomenorrheic women with polycystic ovaries, complaining of infertility (mean duration 6 years) refractory to medical treatment, underwent laparoscopic ovarian diathermy. Eleven had adhesions and/or endometriosis. Regular ovulatory cycles ensued in 17 women (81%). In 9 responders there was a transient rise in mean follicle-stimulating hormone from 5.0±0.4 (standard error of the mean [SEM]) to 6.7±0.5 mIU/mL on postoperative day 1 and a fall in testosterone from 2.6±0.2 to 1.9±0.2 nmol/L by day 8. Luteinizing hormone fell from 19±1.2 to 10.4±1.2 mIU/mL by the follicular phase of the next cycle. Eleven women have conceived 13 pregnancies; 3 miscarried, 7 were delivered at term and 3 are ongoing. Ovarian diathermy is a useful option in women with polycystic ovaries complaining of refractory anovulatory infertility. |
| doi_str_mv | 10.1016/S0015-0282(16)53214-2 |
| format | Article |
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Adjeidu ; McGarrigle, Hugh H.G. ; Honour, John ; Holownia, Peter ; Jacobs, Howard S. ; Lachelin, Gillian C.L.</creator><creatorcontrib>Armar, N. Adjeidu ; McGarrigle, Hugh H.G. ; Honour, John ; Holownia, Peter ; Jacobs, Howard S. ; Lachelin, Gillian C.L.</creatorcontrib><description>Twenty-one nulliparous oligomenorrheic women with polycystic ovaries, complaining of infertility (mean duration 6 years) refractory to medical treatment, underwent laparoscopic ovarian diathermy. Eleven had adhesions and/or endometriosis. Regular ovulatory cycles ensued in 17 women (81%). In 9 responders there was a transient rise in mean follicle-stimulating hormone from 5.0±0.4 (standard error of the mean [SEM]) to 6.7±0.5 mIU/mL on postoperative day 1 and a fall in testosterone from 2.6±0.2 to 1.9±0.2 nmol/L by day 8. Luteinizing hormone fell from 19±1.2 to 10.4±1.2 mIU/mL by the follicular phase of the next cycle. Eleven women have conceived 13 pregnancies; 3 miscarried, 7 were delivered at term and 3 are ongoing. Ovarian diathermy is a useful option in women with polycystic ovaries complaining of refractory anovulatory infertility.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/S0015-0282(16)53214-2</identifier><identifier>PMID: 2136836</identifier><identifier>CODEN: FESTAS</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Androstenedione - blood ; Anovulation - etiology ; Anovulation - surgery ; Biological and medical sciences ; Dehydroepiandrosterone - blood ; Electrocoagulation - standards ; Female ; Female genital diseases ; Follicle Stimulating Hormone - blood ; Gynecology. Andrology. Obstetrics ; Humans ; Infertility, Female - etiology ; Infertility, Female - surgery ; Laparoscopy - standards ; Luteinizing Hormone - blood ; Medical sciences ; Non tumoral diseases ; Ovary - metabolism ; Ovary - surgery ; Polycystic Ovary Syndrome - blood ; Polycystic Ovary Syndrome - complications ; Polycystic Ovary Syndrome - surgery ; Progesterone - blood ; Testosterone - blood</subject><ispartof>Fertility and sterility, 1990-01, Vol.53 (1), p.45-49</ispartof><rights>1990 American Society for Reproductive Medicine</rights><rights>1990 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-dbd5ddcce2151f1aa6e1949a1170bcfc758b5220297c4421bbd870891ba1009d3</citedby><cites>FETCH-LOGICAL-c436t-dbd5ddcce2151f1aa6e1949a1170bcfc758b5220297c4421bbd870891ba1009d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0015028216532142$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,4010,27900,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=6929754$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2136836$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Armar, N. 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In 9 responders there was a transient rise in mean follicle-stimulating hormone from 5.0±0.4 (standard error of the mean [SEM]) to 6.7±0.5 mIU/mL on postoperative day 1 and a fall in testosterone from 2.6±0.2 to 1.9±0.2 nmol/L by day 8. Luteinizing hormone fell from 19±1.2 to 10.4±1.2 mIU/mL by the follicular phase of the next cycle. Eleven women have conceived 13 pregnancies; 3 miscarried, 7 were delivered at term and 3 are ongoing. Ovarian diathermy is a useful option in women with polycystic ovaries complaining of refractory anovulatory infertility.</description><subject>Adult</subject><subject>Androstenedione - blood</subject><subject>Anovulation - etiology</subject><subject>Anovulation - surgery</subject><subject>Biological and medical sciences</subject><subject>Dehydroepiandrosterone - blood</subject><subject>Electrocoagulation - standards</subject><subject>Female</subject><subject>Female genital diseases</subject><subject>Follicle Stimulating Hormone - blood</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infertility, Female - etiology</subject><subject>Infertility, Female - surgery</subject><subject>Laparoscopy - standards</subject><subject>Luteinizing Hormone - blood</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Ovary - metabolism</subject><subject>Ovary - surgery</subject><subject>Polycystic Ovary Syndrome - blood</subject><subject>Polycystic Ovary Syndrome - complications</subject><subject>Polycystic Ovary Syndrome - surgery</subject><subject>Progesterone - blood</subject><subject>Testosterone - blood</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc2OFCEUhYnRjO3oI0zCwhhdlAJVUFVuJmbiX9KJC3VNbsGtaUwVtED1pN_DB5b-sbeugNzvnHs5l5Abzt5yxtW774xxWTHRiddcvZG14E0lHpEVl1JVUsn6MVldkKfkWUq_GGOKt-KKXAleq65WK_JnDVuIIZmwdYaGHUQHnloHeYNx3lPnabnRGTzc44w-0zBS8GG3TJBDPAAjxuwml4_wQygQfXB5Q7dh2pt9yv98Mb2n6G0w0XmkZgP-HlPxstRMzjsDEw1LNsXgOXkywpTwxfm8Jj8_ffxx96Vaf_v89e7DujJNrXJlByutNQYFl3zkAAp53_TAecsGM5pWdoMUgom-NU0j-DDYrmVdzwfgjPW2viavTr7bGH4vmLKeXTI4TeAxLEm3vaybIimgPIGmRJUijnob3QxxrznTh23o4zb0IWpdXsdtaFF0N-cGyzCjvajO8Zf6y3MdUvn_GMEbly6Y6svosinY7QnDEsbOYdTJOPQGrYtosrbB_WeQv-syqkI</recordid><startdate>199001</startdate><enddate>199001</enddate><creator>Armar, N. 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Adjeidu ; McGarrigle, Hugh H.G. ; Honour, John ; Holownia, Peter ; Jacobs, Howard S. ; Lachelin, Gillian C.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-dbd5ddcce2151f1aa6e1949a1170bcfc758b5220297c4421bbd870891ba1009d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Androstenedione - blood</topic><topic>Anovulation - etiology</topic><topic>Anovulation - surgery</topic><topic>Biological and medical sciences</topic><topic>Dehydroepiandrosterone - blood</topic><topic>Electrocoagulation - standards</topic><topic>Female</topic><topic>Female genital diseases</topic><topic>Follicle Stimulating Hormone - blood</topic><topic>Gynecology. Andrology. 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Adjeidu</creatorcontrib><creatorcontrib>McGarrigle, Hugh H.G.</creatorcontrib><creatorcontrib>Honour, John</creatorcontrib><creatorcontrib>Holownia, Peter</creatorcontrib><creatorcontrib>Jacobs, Howard S.</creatorcontrib><creatorcontrib>Lachelin, Gillian C.L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Armar, N. Adjeidu</au><au>McGarrigle, Hugh H.G.</au><au>Honour, John</au><au>Holownia, Peter</au><au>Jacobs, Howard S.</au><au>Lachelin, Gillian C.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic ovarian diathermy in the management of anovulatory infertility in women with polycystic ovaries: endocrine changes and clinical outcome</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>1990-01</date><risdate>1990</risdate><volume>53</volume><issue>1</issue><spage>45</spage><epage>49</epage><pages>45-49</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><coden>FESTAS</coden><abstract>Twenty-one nulliparous oligomenorrheic women with polycystic ovaries, complaining of infertility (mean duration 6 years) refractory to medical treatment, underwent laparoscopic ovarian diathermy. Eleven had adhesions and/or endometriosis. Regular ovulatory cycles ensued in 17 women (81%). In 9 responders there was a transient rise in mean follicle-stimulating hormone from 5.0±0.4 (standard error of the mean [SEM]) to 6.7±0.5 mIU/mL on postoperative day 1 and a fall in testosterone from 2.6±0.2 to 1.9±0.2 nmol/L by day 8. Luteinizing hormone fell from 19±1.2 to 10.4±1.2 mIU/mL by the follicular phase of the next cycle. Eleven women have conceived 13 pregnancies; 3 miscarried, 7 were delivered at term and 3 are ongoing. Ovarian diathermy is a useful option in women with polycystic ovaries complaining of refractory anovulatory infertility.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2136836</pmid><doi>10.1016/S0015-0282(16)53214-2</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Androstenedione - blood Anovulation - etiology Anovulation - surgery Biological and medical sciences Dehydroepiandrosterone - blood Electrocoagulation - standards Female Female genital diseases Follicle Stimulating Hormone - blood Gynecology. Andrology. Obstetrics Humans Infertility, Female - etiology Infertility, Female - surgery Laparoscopy - standards Luteinizing Hormone - blood Medical sciences Non tumoral diseases Ovary - metabolism Ovary - surgery Polycystic Ovary Syndrome - blood Polycystic Ovary Syndrome - complications Polycystic Ovary Syndrome - surgery Progesterone - blood Testosterone - blood |
| title | Laparoscopic ovarian diathermy in the management of anovulatory infertility in women with polycystic ovaries: endocrine changes and clinical outcome |
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