Ovarian drilling for the treatment of infertility with dystrophic ovaries

BACKGROUND: Dystrophic ovaries represent the main cause of female infertility in Tunisia. AIM: To assess the contribution of ovarian drilling in the treatment of infertility in patients with ovarian dystrophy. METHODS: A retrospective study of 23 patients with dystrophic ovaries that have benefited through their subfertility of laparoscopic ovarian drilling, in the gynecology-obstetrics hospital Mahmoud EL Matri, Ariana, Tunisia. Our study spans a period of 3 years from January 2004 to December 2006. RESULTS: Among the 23 patients who underwent drilling for clomiphene citrate resistance, 9 have been pregnant. The average age of patients having had a pregnancy after ovarian drilling was 29.6 years, the average delay was 7.1mois. Regarding prognostic factors, only infertility's duration lower than 3 years was predictive of a good result. CONCLUSION: Ovarian drilling is an interesting alternative to induction by FSH for patients with dystrophic ovaries.