Simrok-Starcheva D. Pathogenetically based approaches to endosurgical stimulation ovulation in women with polycystic ovarian syndrome

In the present research work we present the theoretical basis and a new solution of scientific problems of modern gynecology pathogenesis of sound approach to endoscopic treatment of PCOS in women of reproductive age. Endosurgical intervention in women with PCOS of reproductive age is justified pathogenesis and socially determined in women who wish to improve reproductive function. Endosurgical methods restore ovulatory menstrual cycle in women 85.7%. Pregnancy occurred in 24.7% of patients with PCOS after surgery, but it was the most effective in women who applied the laser energy - 53.6%, higher than the overall rate of 1.6 times and 2.5-3 times using termokauterization (20.3%), and laparoscopic resection of the ovaries (15.3%).Traditional wedge resection of the ovaries reduces ovarian reserve, reduced functionally activation of corpus luteum due to shortage of ovarian tissue. In a study of women for endosurgical treatment should be assessed ovarian reserve ovary, based on indicators of AMH and inhibin A. By reducing the levels of these parameters is possible to use only laser drilinga and termokauterization, performing wedge resection is contraindicated.