Contribuição da eletrocauterização laparoscópica ovariana bilateral no tratamento de mulheres inférteis com síndrome dos ovários policísticos clomifeno-resistentes

Foram estudadas prospectivamente 49 mulheres inferteis com sindrome dos ovarios policisticos clomifeno-resistentes. Vinte e quatro mulheres foram submetidas a eletrocauterizacao laparoscopica ovariana bilateral e 25, a ate tres ciclos de inducao ovulatoria com hormonio foliculo-estimulante recombinante. Objetivou-se: avaliar os efeitos da cirurgia sobre o volume ovariano e as dosagens sericas hormonais e comparar as taxas de gestacao dos dois grupos de tratamento. Houve diminuicao significativa do volume ovariano bilateral apos a cirurgia. Observou-se queda significativa dos niveis sericos de testosterona e androstenediona e tendencia a queda dos niveis sericos de hormonio luteinizante. A taxa de gestacao obtida com a eletrocauterizacao ovariana, doze meses apos o procedimento, nao diferiu da obtida com tres ciclos de inducao ovulatoria.Forty-nine women with anovulatory infertility and clomiphene-resistant polycystic ovary syndrome were studied prospectively. Twenty-four patients were submitted to laparoscopic ovarian diathermy and twenty-five submitted to cycles of ovarian hyperstimulation with recombinant human follicle stimulating hormone. The objectives were to: evaluate the effects of surgery on the ovarian volume and the hormone levels and compare the pregnancy rates of the two treatment groups. There was decrease of the bilateral ovarian volume after surgery. We observed fall in the levels of testosterone and androstenedione and trend of reduced to the levels of luteinizing hormone. The pregnancy rate obtained with the surgery, twelve months after the procedure, did not differ from the pregnancy rate obtained with three cycles of ovulation induction...