Cited by 381Ovarian function and disordersEndometriosis Research and TreatmentReproductive Biology and Fertility

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Polycystic ovarian syndrome treated by ovarian electrocautery through the laparoscope

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Gjönnaess, Halvard·1984·Fertility and Sterility

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Abstract

Sixty-two women with the polycystic ovarian syndrome were treated by systematic electrocautery of the ovarian capsule performed by laparoscopy. Ovulation occurred within 3 months in 92%. Regular menstrual cycles were established in 51 patients (86%) and plasma progesterone levels suggested that these were ovulatory. Seven of nine women who had been resistant to treatment with clomiphene, 150 mg daily, and human chorionic gonadotropin, 6000 to 9000 IU, ovulated after electrocauterization. The remaining two women responded to stimulation with clomiphene. Pregnancy occurred in 24 of 35 subjects who were involuntarily infertile (69%), with the pregnancy rate increasing to 80% with the inclusion of the women sensitive to clomiphene. These findings support the theory that ovulation is triggered by local factors within the ovary itself.

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Authors: Gjönnaess, H.
Venue: Fertility and Sterility
Publisher: Elsevier BV
Published: 1984-01
Volume: 41
Issue: 1
Pages: 20-25
ISSN: 0015-0282 (ISSN-L)
DOI: 10.1016/s0015-0282(16)47534-5
OpenAlex: W117239984
Cited by: 381
References: 17
Citations by year: 2026: 2 · 2025: 1 · 2024: 5 · 2023: 7 · 2022: 14 · 2021: 3 · 2020: 11 · 2019: 5 · 2018: 10 · 2017: 5 · 2016: 5 · 2015: 13 · 2014: 8 · 2013: 14 · 2012: 8
FWCI: 3.75
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 14026 d)
Locations: Fertility and Sterility (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Health Sciences › Medicine › Reproductive Medicine › Reproductive Biology and Fertility
Keywords: polycystic ovary syndrome, laparoscopic ovarian surgery, ovulation induction, clomiphene citrate resistance, human chorionic gonadotropin, menstrual cycle regularity, pregnancy rate
MeSH terms: Adolescent, Adult, Child, Clomiphene, Electrocoagulation, Female, Humans, Infertility, Female, Middle Aged, Ovulation, Polycystic Ovary Syndrome, Pregnancy, Progesterone

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Polycystic ovarian syndrome treated by ovarian electrocautery through the laparoscope

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