In contrast to this another study compares the hormonal-metabolic profile and reproductive outcome in PCO patient, who were comparing the case of clomiphene resistant by women receiving Metformin and those undergoing laparoscopic ovarian drilling. The authors concluded that although Metformin results in a better attenuation of insulin resistance, laparoscopic ovarian drilling is associated with higher rates of ovulation and pregnancy.27
Laparoscopic ovarian drilling verses medical treatment in management of clomephene citrate poly cystic ovarian syndrome.
Metformin versus laparoscopic ovarian drilling in clomiphene- and insulin-resistant women with polycystic ovary syndrome.
Pregnancy outcome in women with polycystic ovary syndrome comparing the effects of laparoscopic ovarian drilling and clomiphene citrate stimulation in women pre- treated with metformin.
(%) of cases Polypectomy 5 7 Adhesiolysis 10 8 Tubal cannulation 5 6 Endometrial curettage 12.5 17 No procedure done 67.5 62 Table-4 Distribution of cases according to treatment done by laparoscopy Procedure Primary Percentage Secondary infertility (%) infertility (N=60) (N=40) Adhesiolysis 12 20 9 Laparoscopic ovarian drilling
22 36.67 4 Fimbrioplasty 12 20 3 Fulguration of endometriotic 2 3.33 1 lesion Excision of ovarian 1 1.67 0 endometriotic cyst Myomectomy 1 1.67 2 No procedure done 26 43.33 21 Procedure Percentage Total (%) No.