The Clinical and Hormonal Effects of Laparoscopic Multiple Punch Resection (MPR) of Ovary in Polycystic Ovary Syndrome

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  • UTSUNOMIYA,Takafumi
    Department of Obstetrics and Gynecology, Medical Institute of Bioregulation, Kyushu University
  • SUMIOKI,Hisao
    Department of Obstetrics and Gynecology, Medical Institute of Bioregulation, Kyushu University
  • KORENAGA,Susumu
    Department of Obstetrics and Gynecology, Medical Institute of Bioregulation, Kyushu University
  • MATSUOKA,Koichiro
    Department of Obstetrics and Gynecology, Medical Institute of Bioregulation, Kyushu University
  • KORENAGA,Michio
    Department of Obstetrics and Gynecology, Medical Institute of Bioregulation, Kyushu University
  • KADOTA,Toru
    Department of Obstetrics and Gynecology, Medical Institute of Bioregulation, Kyushu University

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  • 多嚢胞性卵巣症候群に対する腹腔鏡下卵巣パンチ切除術の臨床的, 内分泌的効果について

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Abstract

Eleven women with polycystic ovary syndrome (PCO) were treated with Laparoscopic Multiple Punch Resection (MPR) of the ovarian follicle and capsule and studied by hormone analysis before and after MPR. In 90.9% of the patients, ovulation appeared to occur within 9 weeks and 63.6% conceived within 26 weeks. No changes in serum LH and FSH levels were seen before and after MPR, but testosterone levels which were in the upper normal range or slightly elevated before treatment were reduced after MPR. Endocrine responses to MPR were similar to those described previously after wedge resection. Laparoscopic MPR is a simple and least invasive method and makes it unnecessary to worry about periovarian adhesion after operation. Furthermore, other causes of infertility can be examined by laparoscopy. MPR appeared to be a promising alternative treatment for patients with PCO.

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