What is an ovarian drilling?
The purpose is to reduce androgens and restore menses. It is done as a day care laparoscopic procedure. A small needle is used to make 4 punctures in the ovary. An electric current at 40 watts is passed through the needle for 4 secs. Often a small amount of cyst fluid can be seen escaping as the puncture is made. Spontaneous ovulation resumes following the drilling and the chances of conception in the next 6 months are very high. Surgical therapy for PCOS should not be considered as a first step in treatment in part because it is unclear what the long-term effects might be. A good time to consider it would be when making preparation for a diagnostic laparoscopy or considering in vitro fertilization. 23.
