International Journal of Infertility & Fetal Medicine

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2013 | May-August | Volume 4 | Issue 2

EDITORIAL

Editorial

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:1] [Pages No:0 - 0]

PDF  |  DOI: 10.5005/ijifm-4-2-iv  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

T Shashikala, Mandeep Kaur, Gautham Pranesh, Anjali Gahlan, K Deepika

Outcome of Laparoscopic Ovarian Drilling in Patients of Clomiphene Resistant Polycystic Ovarian Syndrome in a Tertiary Care Center

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:6] [Pages No:39 - 44]

PDF  |  DOI: 10.5005/jp-journals-10016-1059  |  Open Access |  How to cite  | 

Abstract

Background

Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in women and its prevalence is rising. Management of the disease is usually medical and some resistant cases may require surgical treatment in the form of laparoscopic ovarian drilling (LOD). Medical management exposes the patient to increased risk of multiple pregnancy and hyperstimulation. LOD avoids the need of medical therapy or makes the ovaries more responsive to treatment.

Aim

The objective of this descriptive study was to study the outcome of LOD in patients of PCOS with clomiphene resistance in the form of clinical pregnancy and live birth rate.

Setting

Tertiary assisted conception center.

Design

Observational study.

Materials and methods

100 patients of clomiphene resistant PCOS who underwent LOD.

Outcome measure

Primary outcome was clinical pregnancy rate and secondary outcome was ovarian hyperstimulation syndrome (OHSS) rate, multiple pregnancy rate, miscarriage rate, prevalence of hypothyroidism and live birth rate in PCOS patients.

Results

Clinical pregnancy rate—47.3%, OHSS rate—2.7%, multiple pregnancy rate—4%, miscarriage rate—6.7%, prevalence of hypothyroidism—48% and live birth rate—40.5%.

Conclusion

Patients with irregular cycles, high LH/FSH ratio usually have CC resistance. PCO patients have high prevalence of hypothyroidism and it should be specifically screened and treated. Low incidence of miscarriage rate, OHSS rate and multiple pregnancy rates is seen after LOD with 47.3% clinical pregnancy and 40.5% live birth rates. Patients with high values of LH/FSH ratio are the candidates who stay nonpregnant in spite of LOD and this information is very useful in prognosticating the patients.

How to cite this article

Kaur M, Pranesh G, Mittal M, Gahlan A, Deepika K, Shashikala T, Rao KA. Outcome of Laparoscopic Ovarian Drilling in Patients of Clomiphene Resistant Polycystic Ovarian Syndrome in a Tertiary Care Center. Int J Infertility Fetal Med 2013;4(2):39-44.

REVIEW ARTICLE

Mala Arora, Mandeep Kaur

Diminished Ovarian Reserve, Causes, Assessment and Management

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:11] [Pages No:45 - 55]

PDF  |  DOI: 10.5005/jp-journals-10016-1060  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kaur M, Arora M. Diminished Ovarian Reserve, Causes, Assessment and Management. Int J Infertility Fetal Med 2013;4(2):45-55.

RESEARCH ARTICLE

Purnima Deb, Nighat Aftab, Tasneem Rangwala

Successful Cerclage at Advanced Cervical Dilatation in the Second Trimester

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:3] [Pages No:56 - 58]

PDF  |  DOI: 10.5005/jp-journals-10016-1061  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Deb P, Aftab N, Rangwala T. Successful Cerclage at Advanced Cervical Dilatation in the Second Trimester. Int J Infertility Fetal Med 2013;4(2):56-58.

CASE REPORT

Nirmala Agarwal, Sweta Balani, Subhash Arya, Ratna Dua Puri

Noninvasive Management of Rhesus Alloimmunization

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:3] [Pages No:59 - 61]

PDF  |  DOI: 10.5005/jp-journals-10016-1062  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Agarwal N, Balani S, Arya S, Puri RD. Noninvasive Management of Rhesus Alloimmunization. Int J Infertility Fetal Med 2013;4(2):59-61.

CASE REPORT

Anu Kottur, Mandeep Kaur, K Deepika, Anuja Kamath

Live Birth following Single Embryo Transfer derived from Vitrified Oocyte and Surgically Retrieved Frozen Sperm in a Poor Responder Patient

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:4] [Pages No:62 - 65]

PDF  |  DOI: 10.5005/jp-journals-10016-1063  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Kaur M, Mittal M, Kamath A, Deepika K, Kottur A, Rao KA. Live Birth following Single Embryo Transfer derived from Vitrified Oocyte and Surgically Retrieved Frozen Sperm in a Poor Responder Patient. Int J Infertility Fetal Med 2013;4(2):62-65.

CASE REPORT

Chitra Ganesh, Anjana Sridhar

A Case of Fetal Cardiac Rhabdomyoma

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:4] [Pages No:66 - 69]

PDF  |  DOI: 10.5005/jp-journals-10016-1064  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Ganesh C, Sridhar A. A Case of Fetal Cardiac Rhabdomyoma. Int J Infertility Fetal Med 2013;4(2):66-69.

Book Review

Mala Arora, Pankaj Talwar, Kuldeep Jain

IVF Techniques for the Beginners

[Year:2013] [Month:May-August] [Volume:4] [Number:2] [Pages:1] [Pages No:70 - 70]

PDF  |  DOI: 10.5005/ijifm-4-2-70  |  Open Access |  How to cite  | 

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