Hystero-Laparoscopy with Ovarian Drilling at Vardhan Fertility Centre
A Minimally Invasive Surgical Solution for PCOS and Ovulation Problems
Hystero-Laparoscopy with Ovarian Drilling is a combined diagnostic and therapeutic procedure offered at Vardhan Fertility Centre for women with Polycystic Ovary Syndrome (PCOS) who are not ovulating regularly. This minimally invasive surgical treatment can help restore ovulation, regulate menstrual cycles, and increase the chances of natural pregnancy.
- Hysteroscopy: Visual examination of the inside of the uterus to identify or treat abnormalities like polyps, fibroids, or adhesions.
- Laparoscopy: A keyhole surgery used to examine the pelvic organs (ovaries, fallopian tubes, uterus) and perform treatments through small incisions.
- Ovarian Drilling: A controlled, precise procedure where tiny holes are made in the ovary using laser or electrocautery to reduce excess androgen-producing tissue and trigger ovulation.
This approach is especially beneficial for women with PCOS who have resistant anovulation (failure to ovulate despite medication).
- Women diagnosed with PCOS and infertility
- Failure to ovulate with medications like Clomiphene or Letrozole
- Irregular or absent periods (anovulation)
- Normal or borderline male fertility and other health parameters
- Performed under general anesthesia
- 2–3 small incisions are made on the abdomen
- A laparoscope is inserted to visualize ovaries and uterus
- Ovarian cortex is punctured 4–10 times using electrocautery or laser
- Hysteroscopy is done in the same sitting to rule out intrauterine issues
- Discharge usually on the same day or next morning
- Restores natural ovulation in PCOS patients
- Reduces androgen levels responsible for acne/hair growth
- Improves menstrual regularity and egg release
- Enhances the success of natural conception or IUI
- Low complication rate with fast recovery
- Avoids or delays the need for IVF
