Diagnostic Laparoscopy Tubal Patency Test by ICG and Ovarian Drilling



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This video demonstrates the Diagnostic Laparoscopy Tubal Patency Test by ICG and Ovarian Drilling. Often, women with polycystic ovary syndrome (PCOS) do not have regular menstrual periods. This usually means that a woman doesn’t ovulate every month and may have trouble getting pregnant. Hormone treatments like birth control pills can help make periods more regular but will prevent a woman from getting pregnant. There are fertility medicines that may help women with PCOS to ovulate more regularly and increase their chance of becoming pregnant. These include clomiphene citrate, aromatase inhibitors, and metformin. When these medicines do not work, some women may be helped with a surgical procedure called ovarian drilling. This procedure is sometimes called “whiffle ball” surgery, modified wedge resection, and other names. What is ovarian drilling and how does it work? Women with PCOS usually have ovaries with a thick outer layer. The ovaries make more testosterone. High testosterone levels can lead to irregular menstrual periods, acne, and extra body hair. Ovarian drilling works by breaking through the thick outer surface and lowering the amount of testosterone made by the ovaries. This can help the ovaries release an egg each month and start regular monthly menstrual cycles. This may make it easier to get pregnant.