Late endocrine effects of ovarian electrocautery in women with polycystic ovary syndrome.

Abstract:

OBJECTIVE:To examine the duration of the changes in endocrine indices produced by ovarian electrocautery in women with polycystic ovary syndrome (PCOS). DESIGN:Long-term observational study. SETTING:University hospital. PATIENT(S):Infertile women with PCOS. INTERVENTION(S):Ovarian electrocautery was performed through the laparoscope. Blood was sampled before the operation and at defined intervals thereafter. After the establishment of regular cycles, sampling was performed 1 week before the menstrual period. MAIN OUTCOME MEASURE(S):The patients were observed before and at defined intervals for up to 20 years after ovarian electrocautery. Serum concentrations of hypophyseal and ovarian hormones were determined, including sex hormone-binding globulin (SHBG). RESULT(S):There was a clear shift from anovulation to ovulatory cycles and a significant decrease in androgens and gonadotropins. The concentration of SHBG increased. These effects lasted for many years; after 18-20 years, two thirds of the women were still ovulating. CONCLUSION(S):Ovarian electrocautery for PCOS normalizes ovarian function, including androgen production, and the results seem to be stable for 18-20 years.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Gjønnaess H

doi

10.1016/s0015-0282(98)00006-5

subject

Has Abstract

pub_date

1998-04-01 00:00:00

pages

697-701

issue

4

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(98)00006-5

journal_volume

69

pub_type

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