{"id":24619,"date":"2017-11-03T16:14:32","date_gmt":"2017-11-03T15:14:32","guid":{"rendered":"https:\/\/www.drvelemir.fr\/?page_id=24619"},"modified":"2017-11-29T12:01:58","modified_gmt":"2017-11-29T11:01:58","slug":"ovarian-drilling","status":"publish","type":"page","link":"https:\/\/www.drvelemir.fr\/en\/ovarian-drilling\/","title":{"rendered":"Ovarian Drilling"},"content":{"rendered":"

[vc_row full_width=”stretch_row” content_placement=”middle” css_animation=”fadeInDownBig” bg_type=”image” parallax_style=”vcpb-vz-jquery” bg_image_new=”24161″ bg_image_repeat=”no-repeat” parallax_sense=”50″ disable_on_mobile_img_parallax=”off” parallax_content=”parallax_content_value” parallax_content_sense=”70″ fadeout_row=”fadeout_row_value” fadeout_start_effect=”50″ enable_overlay=”off” seperator_enable=”off” css=”.vc_custom_1508938514223{padding-top: 250px !important;padding-bottom: 160px !important;}”][vc_column]

Ovarian Drilling<\/span><\/h1>
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Ovarian drilling is an operation that involves making small holes of 2 mm in each ovary<\/span><\/p>[\/vc_column][\/vc_row][vc_row css=”.vc_custom_1508244965665{margin-bottom: 0px !important;}”][vc_column width=”1\/4″][vc_widget_sidebar sidebar_id=”chirurgie_gynecologique_cancerologique”]

Fertiloscopy with ovarian drilling and tubal blue test<\/span><\/h3>[vc_video link=”https:\/\/www.youtube.com\/watch?v=OQgPprDbARw” css_animation=”appear”][\/vc_column][vc_column width=”3\/4″][vc_column_text css_animation=”boc_animate_when_almost_visible boc_bottom-to-top” el_class=”yesjustify” css=”.vc_custom_1511953293512{margin-bottom: 0px !important;}”]<\/p>\n

What is ovarian drilling?<\/h2>\n

Ovarian drilling is an operation that involves making small holes of 2 mm in each ovary (\u201cdrilling\u201d means piercing in English). It can be performed by laparoscopy or fertiloscopy.<\/p>\n

Why is this operation preferable?<\/h2>\n

This process lets patients suffering from infertility related to a lack of ovulation get treated as part of the polycystic ovary syndrome (PCOS).<\/p>\n

What is polycystic ovarian syndrome (pcos)?<\/h2>\n

This is the most frequent endocrine disorder in women of reproductive age (10%). PCOS alone represents 70% of infertilities related to a lack of ovulation.<\/p>\n

Under what circumstances is ovarian drilling indicated?<\/h2>\n

Absence of ovulation related to PCOS is treated first with a drug for inducing ovulation, the Clomid. In cases of overweight women, a diet is prescribed. Indeed, the return to a normal weight can also have a beneficial effect on ovulation and fertility. Medical treatment requires regular ultrasounds throughout the cycle to control ovulation and synchronize medical treatments. This medical treatment enables pregnancy in 50% of cases in 6 months of treatment.<\/p>\n

Ovarian drilling is one of the second-line treatment options after medical treatment failure. It has a 50 to 60% average pregnancy rate within 6 to 12 months after the operation.<\/p>\n

Ovarian drilling offers several advantages:[\/vc_column_text]

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Once the drilling is done, if the patient finds her cycles back, she will not need additional treatment or special follow-up for a minimum of 6 months.<\/div>\n\t\t\t\t <\/div>
\n\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t
In pregnancy obtained after drilling, there is not, contrary to medical treatment, a particular risk of multiple pregnancy and ovarian hyperstimulation.<\/div>\n\t\t\t\t <\/div>
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Moreover, in the same operational time, it is possible to complete the fertility test by checking the uterine cavity by hysteroscopy and tube permeability using methylene blue testing.<\/div>\n\t\t\t\t <\/div>[vc_column_text css_animation=”boc_animate_when_almost_visible boc_bottom-to-top” el_class=”yesjustify” css=”.vc_custom_1509721937968{margin-top: 15px !important;margin-bottom: 0px !important;}”]The ovarian drilling remains nevertheless recommended as second-line treatment after failure of medical treatment, due to:[\/vc_column_text]
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exceptional but potential surgical risk related to laparoscopy and general anesthesia<\/div>\n\t\t\t\t <\/div>
\n\t\t\t\t\t<\/i><\/span>\n\t\t\t\t\t
a recent randomized study that showed that drilling was not more effective than medical treatment to achieve pregnancy as a treatment of first intention in PCOS.<\/div>\n\t\t\t\t <\/div>[vc_column_text css_animation=”boc_animate_when_almost_visible boc_bottom-to-top” el_class=”yesjustify” css=”.vc_custom_1509721975712{margin-top: 15px !important;margin-bottom: 0px !important;}”]However, ovarian drilling performed by fertiloscopy represents a less invasive approach than laparoscopy, achievable on an outpatient basis under loco-regional anesthesia.<\/p>\n

In this context, the place of ovarian drilling by fertiloscopy in 1st intention can therefore be discussed depending on the choice of the patient.[\/vc_column_text][\/vc_column][\/vc_row][vc_row full_width=”stretch_row” bg_type=”bg_color” fadeout_row=”fadeout_row_value” enable_overlay=”off” el_class=”white_text” css=”.vc_custom_1508245703891{margin-top: 40px !important;margin-bottom: 0px !important;padding-top: 24px !important;padding-bottom: 20px !important;}” bg_color_value=”#967d92″][vc_column]

Ovarian Drilling in Nice<\/h2>\n\t\t\t\t\t

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Because each patient is unique, with its own background and different experiences, trust the expert hands of Dr. Luka Velemir.<\/p>\n<\/div>\n<\/div>\n

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MAKE AN APPOINTMENT <\/span> <\/i> <\/a><\/div><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

[vc_row full_width=”stretch_row” content_placement=”middle” css_animation=”fadeInDownBig” bg_type=”image” parallax_style=”vcpb-vz-jquery” bg_image_new=”24161″ bg_image_repeat=”no-repeat” parallax_sense=”50″ disable_on_mobile_img_parallax=”off” parallax_content=”parallax_content_value” parallax_content_sense=”70″ fadeout_row=”fadeout_row_value” fadeout_start_effect=”50″ enable_overlay=”off” seperator_enable=”off” css=”.vc_custom_1508938514223{padding-top: 250px !important;padding-bottom: 160px !important;}”][vc_column][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1508244965665{margin-bottom: 0px !important;}”][vc_column width=”1\/4″][vc_widget_sidebar sidebar_id=”chirurgie_gynecologique_cancerologique”][vc_video link=”https:\/\/www.youtube.com\/watch?v=OQgPprDbARw” css_animation=”appear”][\/vc_column][vc_column width=”3\/4″][vc_column_text css_animation=”boc_animate_when_almost_visible boc_bottom-to-top” el_class=”yesjustify” css=”.vc_custom_1511953293512{margin-bottom: 0px !important;}”] What is ovarian drilling? Ovarian drilling is an operation that involves making small holes of 2 mm in each ovary (\u201cdrilling\u201d means piercing in English).<\/p>\n

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Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":25091,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-24619","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/pages\/24619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/comments?post=24619"}],"version-history":[{"count":0,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/pages\/24619\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/media\/25091"}],"wp:attachment":[{"href":"https:\/\/www.drvelemir.fr\/en\/wp-json\/wp\/v2\/media?parent=24619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}