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Laparoscopic Ovarian Drilling | Open Access Journals
International Journal of Public Health and Safety

International Journal of Public Health and Safety

ISSN: 2736-6189

Open Access

Laparoscopic Ovarian Drilling

Polycystic ovary syndrome (PCOS) may be a common endocrine disorder in up to 10% of girls within the reproductive age. It comprises a heterogenous mixture of clinical and diagnostical findings, including oligo-/amenorrhoea, oligo-/anovulation, hirsutism, hyperandrogenaemia, a typical ovarian morphology and insulin resistance. Diagnostic criteria were defined by the ESHRE-ASRM consensus meeting in Rotterdam 2003. The most criteria are oligo- or anovulation, clinical and/or biochemical signs of hyperandrogenism and polycystic ovaries by ultrasound. a minimum of two out of those three criteria must be present. Furthermore, other aetiological factors, like M. Cushing, androgen-producing tumours or congenital adrenal hyperplasia must be excluded.

The aetiology of the PCOS is predicated on two major concepts; hyperandrogenism and insulin resistency. The classical hypothesis as proposed by Yen postulates an initial androgen excess.

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