COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF VARIOUS LAPAROSCOPIC OPERATIONS IN THE TREATMENT OF INFERTILITY IN WOMEN DUE TO POLYCYSTIC OVARY SYNDROME

Abstract

Background.  Polycystic ovary syndrome (PCOS) is one of the most common endocrine disorders in women of reproductive age. The aim of the study is to conduct a comparative analysis of the effectiveness of various types of laparoscopic interventions in the treatment of women with infertility caused by polycystic ovary syndrome.

Materials. The study involved 100 women who underwent laparoscopic surgery for infertility caused by polycystic ovary syndrome. Of these, 50 (group I) women underwent laparoscopic ovarian decortication surgery, and 50 (group II) women underwent laparoscopic ovarian cauterization.

Results. The average age of the patients was 25.8 ± 0.98 years. Among them, 59.3% had primary infertility, and 40.7% had secondary infertility. The average duration of infertility ranged from 2 to 6 years. Laparoscopic decortication of both ovaries was performed in 50 women (50.0%) with a size of 12.5±0.51 cm³, and in 50 women (50.0%) with a size of 10.2±0.42 cm³ or less, ovarian cauterization was performed (p<0.01).

Conclusion. The use of laparoscopy in the treatment of infertility in women due to polycystic ovary syndrome is considered an effective method of reproductive surgery leading to the restoration of the menstrual cycle and restoration of reproductive function.  According to our study, the use of laparoscopy led to the restoration of menstrual function in 90% of women, the onset of uterine pregnancy in 86.3% of women who underwent ovarian decortication surgery, and in 85.4% of women who underwent ovarian cauterization surgery.