Читать книгу The Ultimate PCOS Handbook: Lose weight, boost fertility, clear skin and restore self-esteem - Theresa Cheung - Страница 48

Surgery is only used as a last measure for the treatment of infertility in women with PCOS, but can be effective in some women who do not respond to medical treatment.

Today, surgery is usually performed through a laparoscope (a thin, lighted tube). Instruments are inserted through the laparoscope and are used to damage the ovary mechanically or thermally (with heat or cold). This damage decreases androgen levels in the ovary and alters other hormone levels in the body, triggering the maturation and release of eggs.

Women with PCOS have an 80 to 87 per cent chance of becoming pregnant after laparoscopic surgery, and it usually reinstates normal menstrual cycles for at least several months afterwards. But it’s not without risks – it’s typically less effective in overweight women, and can lead to the formation of adhesions, wasting of the ovary, injury to surrounding tissues, and infection. Although the long-term effects of ovarian surgery are still being evaluated, studies suggest that the procedure may also lead to early menopause.