Main content

    Health Information

    Laparoscopic Ovarian Drilling (Ovarian Diathermy) for PCOS

    Laparoscopic Ovarian Drilling (Ovarian Diathermy) for PCOS

    Surgery Overview

    Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women who have polycystic ovary syndrome (PCOS) . Electrocautery or a laser is used to destroy parts of the ovaries.

    This surgery is not commonly used. But it can be an option for women who are still not ovulating after losing weight and trying fertility medicines.

    Ovarian drilling is usually done through a small incision ( laparoscopy ), with general anesthesia . The surgeon makes a small cut (incision) in the abdomen at the belly button. The surgeon then places a tube to inflate the abdomen with a small amount of carbon dioxide gas so that he or she can insert the viewing instrument (laparoscope) without damage to the internal organs. The surgeon looks through the laparoscope at the internal organs. Surgical instruments may be inserted through the same incision or other small incisions in the pelvic area.

    Because the incisions are so small, laparoscopy is often called "Band-Aid surgery."

    What To Expect After Surgery

    If you have a laparoscopy procedure, you will likely go home the same day and can do your normal activities within 24 hours. Your return to normal activities will depend on how quickly you recover from surgery, which may take a few days or as long as 2 to 4 weeks.

    Why It Is Done

    Ovarian drilling is sometimes used for women with PCOS who are still not ovulating after trying weight loss and fertility medicine. Destroying part of the ovaries may restore regular ovulation cycles.

    How Well It Works

    For women who do not respond to treatment with medicine, such as clomiphene, about 50% of them may be able to become pregnant after they have ovarian drilling surgery. 1

    Risks

    Risks of laparoscopy include:

    • Infection of the incision.
    • Bleeding from the incision.
    • Internal bleeding.
    • Accidental injury to internal organs or major blood vessels, from the laparoscope or surgical instruments.
    • Pain after the procedure, from inflating the abdomen with gas.
    • Problems caused by anesthesia.
    • Adhesions or scarring inside the body.

    Ovarian drilling may affect the number of eggs you have left or may cause early menopause. Talk to your doctor about these possible risks. 1

    What To Think About

    Ovarian drilling may make your menstrual cycles more regular, but over time they may become irregular again.

    Complete the surgery information form (PDF) (What is a PDF document?) to help you prepare for this surgery.

    References

    Citations

    1. Fritz MA, Speroff L (2011). Induction of ovulation. In Clinical Gynecologic Endocrinology and Infertility, 8th ed., pp. 1293?1330. Philadelphia: Lippincott Williams and Wilkins.

    Credits

    By Healthwise Staff
    Patrice Burgess, MD - Family Medicine
    Kirtly Jones, MD - Obstetrics and Gynecology
    Last Revised February 6, 2012

    This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

    1995-2014 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.