chapter  10
Laparoscopic ovarian drilling
Pages 4

The original treatment for polycystic ovary syndrome (PCOS), proposed by Stein and Leventhal in 1935, was bilateral wedge resection of the ovaries. This met with remarkable success regarding resumption of ovulation but was abandoned because of the high probability of inducing pelvic adhesions and the advent of medical means of inducing ovulation. Thanks to modern technology but using the same principles, laparoscopic ovarian drilling (LOD) by diathermy or laser now presents a further treatment option for women with anovulatory infertility associated with PCOS.