Effects of drilling on ovarian volume and follicle count in PCOS

Aim: To evaluate the effects of drilling on the reduction of the ovarian volume and on the count of antral follicles in case of resistance to clomifene citrate induction, Methods: We carried a prospective study over two years (2004-2005) in Antoine Beclère hospital. We compared two groups of patients, the first, including 20 patients with PCOS and undergoing an ovarian drilling, the second group involving 19 patients with PCOS and without any medical help to procreate. Results: From our study, the ovarian drilling seems to reduce the number of antral follicles, as well as the ovarian volume. Conclusion : the ovarian drilling , easy and reproducible procedure reduces the number of antral follicles and ovarian volume, leading to normalization of ovarian functioning and thus better results on fertility.