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Ovarian Drilling

Ovarian drilling is a minimally invasive surgical procedure used to treat infertility caused by Polycystic Ovary Syndrome (PCOS). It is recommended for women who do not respond to first-line treatments like weight loss or ovulation-inducing medications. This procedure involves creating small punctures in the ovarian surface to lower androgen levels, which helps restore regular ovulation. 

At Dr. Kamaraj Hospital and Aakash Fertility Centre, we provide advanced ovarian drilling treatments tailored to individual needs, offering effective solutions for women struggling with PCOS-related infertility.

ovarian drilling laparoscopy

Symptoms & Causes of Ovulation Failure

Common symptoms that may indicate ovulation failure include:

  • Irregular or Absent Menstrual Cycles: Inconsistent periods are a hallmark of ovulatory disorders.
  • Excessive Hair Growth: High androgen levels can cause male-pattern hair growth (hirsutism).
  • Obesity or Unexplained Weight Gain: Often linked to insulin resistance in women with PCOS.
  • Acne and Oily Skin: Hormonal imbalances can trigger persistent skin problems.
  • Difficulty Conceiving: Despite regular attempts, conception remains unsuccessful.

Ovulation failure is generally caused by:

  • Polycystic Ovary Syndrome (PCOS): A hormonal disorder that disrupts ovulation due to excess androgen production.
  • Resistance to Ovulation Medications: When medications like Clomiphene Citrate or Letrozole fail to induce ovulation.
  • Hormonal Imbalances: Elevated androgens or insulin resistance prevent follicles from maturing and releasing eggs.
  • Irregular Ovulation: PCOS often causes irregular or absent ovulation, making conception difficult.

How Ovarian Drilling is Performed

Ovarian drilling is performed laparoscopically, ensuring minimal discomfort and a quick recovery. The procedure involves:

  1. Initial Assessment: Specialists conduct hormone tests, ultrasounds, and review medical history to confirm the need for ovarian drilling.
  2. Laparoscopic Procedure:
    • A small incision is made near the navel.
    • A laparoscope (a thin tube with a camera) is inserted to visualize the ovaries.
    • Using electrocautery or a laser, 4-10 small punctures are made in the ovarian surface to reduce androgen-producing tissue.
  3. Post-Procedure Recovery: The procedure lasts 30-45 minutes, and most patients are discharged the same day. Recovery takes about 5-7 days.
laparoscopic ovarian drilling

Benefits of Ovarian Drilling

Ovarian drilling has proven benefits for women with PCOS who face ovulatory challenges:

  • Restores Ovulation: Around 70-80% of women resume regular ovulation within a few months of the procedure.
  • Natural Pregnancy: Post-procedure, 50-60% of women achieve natural conception.
  • Improved Response to Medications: Lower androgen levels enhance the effectiveness of fertility drugs.
  • Reduced Risk of Multiple Pregnancies: Unlike gonadotropin therapy, ovarian drilling avoids overstimulation, minimizing the chances of twins or triplets.
  • Long-Term Effects: For many women, the procedure provides relief from PCOS symptoms for several months or even years.

Complications of Untreated Ovulation Failure

If ovulation failure remains untreated, it can lead to:

  • Chronic Infertility: Irregular ovulation prevents successful conception.
  • Endometrial Hyperplasia: Irregular menstrual cycles cause the uterine lining to thicken abnormally, increasing the risk of cancer.
  • Diabetes and Heart Disease: Insulin resistance in PCOS can progress to type 2 diabetes and cardiovascular issues.
  • Emotional and Mental Stress: Struggling with infertility often causes anxiety, depression, and relationship strain.

Why Choose Us?

At Dr. Kamaraj Hospital Pvt. Ltd. and Aakash Fertility Centre, we specialise in advanced fertility treatments, including ovarian drilling, with a focus on precision, safety, and patient care. 

  • Expert Team: Our specialists have extensive experience in laparoscopic fertility surgeries.
  • State-of-the-Art Facilities: Advanced laparoscopic tools ensure safe and effective procedures.
  • Personalised Treatment & Comprehensive Care: Every treatment plan is tailored to your unique health needs.
  • Proven Success Rates: Our treatments have helped numerous women resume ovulation and achieve natural pregnancies.
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Explore FAQs

FAQ

What is ovarian drilling, and how does it work
Ovarian drilling is a laparoscopic procedure that reduces androgen levels by creating small punctures in the ovaries, restoring regular ovulation.
Women with PCOS who have not responded to medications like Clomiphene Citrate or Letrozole are ideal candidates.
Approximately 70-80% of women resume ovulation, and 50-60% conceive naturally after the procedure.
Most women recover within 5-7 days and can resume normal activities shortly after.
Risks are minimal but may include infection, adhesion formation, or reduced ovarian reserve in rare cases.

Meet Our Doctor

Best Sexologist in Chennai Dr. T Kamaraj

Dr. T. Kamaraj

Sexologist & Male Infertility Specialist

MBBS degree and advanced qualifications in obstetrics and gynaecology
Infertility Specialist Dr. J S Jeyarani Kamaraj

Dr. J. S. Jeyarani Kamaraj

Infertility Specialist

MBBS degree and advanced qualifications in obstetrics and genecology, including an MD and a Diploma in Gynecology and Obstetrics (DGO)