Influence Of Different Methods Of Operative Treatment On Ovarian Reserve.

V Simrok, Simrok Starcheva

Abstract


This research paper presents the results of ovarian reserve estimation for 125 women with the Polycystic Ovary Syndrome (PCOS) who have undergone various methods of surgical treatment - resection of the ovaries, thermokauterisation and drilling by laser (Ho-Yag). Ovarian reserve was estimated according to the amount of antral follicles, level of follitropin and Müllerian inhibiting substance (MIS), also named anti-Müllerian hormone (AMH). Blood flow in ovarian tissue was also examined after various methods of surgical treatment. The study has shown that the gentlest method of surgical treatment is drilling by Ho-Yag laser, which is least likely to injure the tissue of ovaries, and also this method is most effective in enhancing and preserving ovarian reserve.


Keywords


Polycystic Ovarian Syndrome (PCOS) ■Surgical Treatment ■ Ho –Yag Laser

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References


Грищенко В.И., Феськов А.М., Феськова И.А. Новые подходы к лапароскопической термокаутеризации поликистозных яичников у женщин с эндокринным бесплодием // Эндоскопия в диагностике, лечении и мониторинге женских болезней: сб. научн. тр. международного конгресса: - Москва, 2000. - С.143 - 144. (Grishenko V. I. New approaches to laparoscopic thermocauterization of polycystic ovaries in women with endocrine sterility// V.I. Grishenko, A.M.Feskov, I.A. Feskova/ Endoscopy in diagnosis, treatment and monitoring of woman’s diseases: digest of researching interpritations of international congress.– Moscow, 2000. – p.143-144).

Сімрок В.В., Сімрок-Старчева Д.В. Передопераційна оцінка оваріального резерву яєчників при синдромі полікістозних яєчників (СПКЯ). // Проблемы, достижения и перспективы развития медико-биологических наук и практического здравоохранения. Труды Крымского государственного медицинского университета им. С.И.Георгиевского,2010.-том 149.-Часть IУ.С.173-174. (Simrok V.V. Preoperative assessment of ovarian reserve in polycystic ovarian syndrome (PCOS).// V.V.Simrok, D.V. Simrok-Starcheva/ Problems, achievements and prospects of biomedical sciences and healthcare.Proceeding of Crimean State Medical university of S.I. Georgievsky, 2010.-149.Vol IV p.173-174).

Трампольская А.В. Синдром поликистозных яичников: современная концепция, лечение и индукция овуляции // Здоровье женщины.-2003.-№3.-С.150-152.(Trampolskaya A.V. Polycystic ovarian syndrome: modern contraception, treatment and induction of ovulation// A.V. Trampolskaya/ Jon. Woman’s health.-2003.- .-№3.-p.150-152).

Heylen S.M., Puttemans P.J., Brosens I.A. Polycystic ovarian disease treated by laparoscopic argon laser capsule drilling: comparison of vaporization versus perforation technique // Human Reproduction.-1994.-Jun;-9(6):-1038-1042.

Knochemhauer E.S. Diagnostic Criteria in Polycystic Ovary Syndrome: Potential Diagnostic Criteria in Polycystic Ovary Syndrome. // J Clin Endocrinol Metab .-1998.-V.68.-N. 83.-P. 3078–81.




DOI: http://dx.doi.org/10.12955/emhpj.v3i0.353

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