Ovaries with a thick outer layer are typically found in women with PCOS, to produce more testosterone. Acne, excess body hair, and irregular menstruation cycles are side effects of high testosterone levels.
Ovarian drilling reduces the quantity of testosterone produced by the ovaries by cutting through the thick outer layer. The ovaries may be able to release an egg and initiate regular monthly menstruation cycles as a result. It might be simpler to conceive as a result.
For ovarian drilling, a procedure known as laparoscopy is done. A tiny surgical incision (laparoscope) is used to insert a narrow, illuminated telescope near the belly button. The ovaries are visible through a small camera. Through additional tiny incisions in the lower belly, the surgeon inserts instruments and creates extremely small holes in the ovaries. This reduces the quantity of testosterone the ovaries produce.
This technique aims to help a lady ovulate and restore her menstrual cycle. In the first year following surgery, 50% of women become pregnant. After the procedure, some women can still not have regular cycles. Others may experience various infertility issues that can hinder pregnancy, such as clogged tubes or a low sperm count.
In contrast to monthly fertility medications, ovarian drilling is a one-time procedure. When compared to fertility drugs, ovarian drilling reduces the likelihood of having twins or triplets. The advantages of ovarian drilling, though, are temporary. Over time, ovulation and menstrual periods may resume being irregular.
Making the choice to do ovarian drilling should not be a hasty one. Although ovarian drilling complications are uncommon, some of them can be very significant.
Surgery-related risks are among the dangers. There are dangers associated with bleeding, anaesthesia, and infection, just like with any surgical operation. Laparoscopy can also harm blood vessels, the colon, and the bladder. There is a very small chance of dying.
Fertility has hazards as well. A woman may have early menopause if the ovary sustains too much damage during the ovarian drilling surgery. It may be challenging to conceive after the treatment because adhesions (scarring) may develop between the fallopian tubes and ovaries.