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Chapter 24 - Ovarian Cautery for Polycystic Ovary Syndrome

from Section 5 - Alternatives to Ovarian Hyperstimulation and Delayed Transfer

Published online by Cambridge University Press:  14 April 2022

Mohamed Aboulghar
Affiliation:
University of Cairo IVF Centre
Botros Rizk
Affiliation:
University of South Alabama
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Summary

The term “polycystic ovary syndrome” (PCOS) has replaced the term Stein–Leventhal syndrome. Stein and Leventhal not only were the first to describe the condition but also developed and reported on a treatment, reporting on a successful series of 108 women treated by “wedge resection” [1]. In fact until the availability of clomiphene (clomifene) citrate (CC) in 1961 [2], this was the only option available to treat the infertility of women with this condition; characterized by obesity, oligomenorrhea, and anovulation. However, as treatment required laparotomy, and often resulted in periovarian adhesion formation, once medical treatment was available, initially CC, then human pituitary gonadotropins (hPG) [3], then urinary human menopausal gonadotropin (hMG) [4], wedge resection lost popularity, unless it was performed in conjunction with another surgical procedure that already required laparotomy.

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Information
Ovarian Stimulation , pp. 245 - 254
Publisher: Cambridge University Press
Print publication year: 2022

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References

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