Ovarian drilling using laparoscopic surgery involves the creation of multiple perforations (about 15 small holes) in the ovarian surface using a laser or electric scalpel to trigger spontaneous ovulation.
This treatment, followed by the administration of clomiphene citrate, seems to be as effective as using gonadotropins. The difference is that is eliminates its disadvantages, since it reduces the risk of OHSS and multiple pregnancy.
Ovarian drilling can be done to one or both ovaries.
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