Ovarian drilling is a minimally invasive surgical procedure used primarily to treat polycystic ovary syndrome (PCOS), a condition that can cause irregular menstrual cycles, anovulation (lack of ovulation), and infertility. During ovarian drilling, a surgeon performs laparoscopic surgery to create small punctures or “drills” in the ovarian surface using a thin, lighted instrument called a laparoscope and specialized drilling devices. This technique is aimed at reducing the number of cysts on the ovaries and improving ovarian function by decreasing the levels of male hormones (androgens) that are often elevated in PCOS. The procedure is typically recommended for women with PCOS who have not responded to lifestyle changes or medical treatments such as fertility medications. By targeting the ovarian tissue, ovarian drilling can promote the resumption of normal ovulation and improve fertility outcomes.
While ovarian drilling can be effective in restoring ovulation and improving menstrual regularity, it does come with potential complications. These may include bleeding, infection, or damage to the ovaries or surrounding organs, which could impact future fertility or cause other health issues. There is also a risk of ovarian scarring, which could potentially lead to decreased ovarian reserve over time. Additionally, although ovarian drilling can improve ovulation and fertility in many cases, it does not guarantee pregnancy and may require additional fertility treatments. Despite these risks, ovarian drilling remains a valuable option for managing PCOS-related infertility, offering a less invasive alternative to more extensive surgical interventions.
