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PCOD Drilling (Laparoscopic Ovarian Drilling) at HOPE Women’s Hospital

  PCOD drilling, also known as laparoscopic ovarian drilling (LOD), is a surgical procedure used to treat polycystic ovary syndrome (PCOS) in women who have not responded to other treatments or have fertility concerns. This minimally invasive procedure involves making small incisions in the abdomen to access and treat the ovaries, aiming to restore ovulation and improve fertility. At HOPE Women’s Hospital, we offer expert PCOD drilling services to support women with PCOS and fertility challenges. .

Understanding PCOS and Indications for PCOD Drilling

Polycystic ovary syndrome (PCOS) is a hormonal disorder characterized by irregular menstrual cycles, ovarian cysts, hormonal imbalances, insulin resistance, and symptoms such as acne, hirsutism (excessive hair growth), and infertility. Women with PCOS may have difficulty ovulating regularly, leading to challenges in achieving pregnancy.

How PCOD Drilling Works

During PCOD drilling (LOD), the procedure is performed under general anesthesia, and small incisions (usually 3-4) are made in the abdomen to insert a laparoscope (a thin, lighted tube with a camera) and surgical instruments. The surgeon then uses heat or laser energy to create small punctures or ‘drill’ the ovarian surface, targeting the areas with multiple cysts and thickened ovarian tissue.

PCOD drilling (LOD) is typically considered for women with PCOS who:

Have not responded to conservative treatments such as lifestyle modifications, weight management, dietary changes, and medications like clomiphene citrate (Clomid) to induce ovulation.
Experience fertility issues due to anovulation (lack of ovulation) or irregular ovulation despite other treatment attempts.
Desire to improve ovulation and enhance chances of conception, especially for women undergoing fertility treatments such as in vitro fertilization (IVF) or intrauterine insemination (IUI).

The goal of PCOD drilling is to:

  Reduce Ovarian Androgen Production: By drilling small holes in the ovarian surface, the procedure aims to reduce androgen (male hormone) production from the ovaries, which is often elevated in women with PCOS and contributes to hormonal imbalances.
Restore Ovulation: The thermal or laser energy applied during drilling helps to disrupt the ovarian tissue and stimulate follicular development, potentially restoring regular ovulation cycles and improving fertility.
Enhance Response to Ovulation Induction: Following PCOD drilling, women may experience improved responsiveness to ovulation-inducing medications such as Clomid or gonadotropins, increasing the chances of successful ovulation and conception.

Benefits of PCOD Drilling

Improved Ovulation: PCOD drilling can lead to more regular ovulation cycles, increased frequency of ovulation, and improved chances of natural conception for women with PCOS.
Enhanced Fertility: Women undergoing PCOD drilling may experience improved fertility outcomes, especially when combined with fertility treatments such as IVF or IUI.
Reduced Androgen Levels: By reducing ovarian androgen production, PCOD drilling may help alleviate symptoms such as hirsutism, acne, and hormonal imbalances associated with PCOS.
Minimally Invasive: PCOD drilling is a minimally invasive procedure that requires only small incisions, leading to shorter recovery times, less pain, and reduced risk of complications compared to open surgery.

Post-Procedure Care and Follow-up

After PCOD drilling, patients are typically monitored closely for recovery and ovulatory response. Follow-up appointments with healthcare providers are scheduled to assess hormonal levels, menstrual cycles, ovulation patterns, and fertility outcomes. Depending on individual needs, additional fertility treatments or monitoring may be recommended to optimize chances of conception.

Why Choose HOPE Women's Hospital for PCOD Drilling?

Experienced Surgeons: Our team includes experienced gynecologists and reproductive surgeons skilled in performing PCOD drilling with precision and expertise.
Advanced Technology: We utilize state-of-the-art laparoscopic equipment, including high-definition cameras and energy devices, to ensure safe and effective procedures.
Comprehensive Care: We offer comprehensive fertility evaluations, personalized treatment plans, and compassionate support to address PCOS-related fertility challenges and optimize reproductive outcomes.
Patient-Centered Approach: We prioritize patient education, counseling, and involvement in treatment decisions, ensuring a positive experience, informed choices, and optimal outcomes.

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