Laparoscopic Ovarian Drilling in India_ A Ray of Hope for Women with PCOS

1. Laparoscopic Ovarian Drilling in India: A Ray of Hope for Women with PCOS Polycystic Ovary Syndrome (PCOS) is one of the leading causes of infertility in women today. Many women with PCOS struggle for years trying various treatments to induce ovulation and achieve pregnancy. When first-line treatments like lifestyle changes and ovulation-inducing medicines fail, Laparoscopic Ovarian Drilling in India has emerged as a safe, effective, and affordable solution for many couples dreaming of parenthood. What is Laparoscopic Ovarian Drilling (LOD)? Laparoscopic Ovarian Drilling (LOD) is a minimally invasive surgical procedure performed to restore ovulation in women suffering from PCOS. During the procedure, small punctures are made in the thickened surface of the ovaries using either electrocautery or laser. This helps reduce the excessive production of male hormones (androgens) that interfere with ovulation. As a result, hormonal balance is restored, and many women resume regular menstrual cycles and ovulate naturally — often without needing long-term fertility medications. Who Needs Laparoscopic Ovarian Drilling? LOD is usually recommended for women who have not responded to first-line treatments such as ovulation induction with clomiphene citrate or letrozole. It is especially helpful for women with clomiphene-resistant PCOS, irregular menstrual cycles, persistently high androgen levels, or those who want to avoid the risks associated with gonadotropin therapy, such as ovarian hyperstimulation syndrome (OHSS) and multiple pregnancies. How is Laparoscopic Ovarian Drilling Performed? The procedure is done under general anesthesia. A laparoscope (a tiny camera) is inserted through small incisions in the abdomen to allow the surgeon to view the ovaries. Using a special needle electrode or laser, 4–10 tiny holes are made in each ovary. This reduces androgen-producing tissue, encouraging the ovaries to ovulate naturally. LOD is usually a day-care surgery, meaning most patients can go home the same day or within 24 hours. Recovery is quick, with most women resuming normal activities within a few days. Success Rate of Laparoscopic Ovarian Drilling in India One of the biggest advantages of Laparoscopic Ovarian Drilling in India is its high success rate when performed by experienced specialists. Studies show that about 70–80% of women

2. resume ovulation within six months after the procedure. Around 50–60% of these women achieve natural pregnancy within 6–12 months. Unlike gonadotropin therapy, LOD carries a lower risk of multiple pregnancies and ovarian hyperstimulation, making it a safer choice for many. Pre-Treatment Evaluation Before undergoing LOD, patients typically undergo a thorough evaluation which includes: ● Hormonal tests (LH, FSH, testosterone, AMH, insulin) ● Pelvic ultrasound to check ovarian size and follicles ● Glucose tolerance test for insulin resistance ● Semen analysis for male factor infertility ● Tubal patency tests to ensure no blockages A detailed assessment helps the surgeon plan the best approach and minimize any risks. Types of Laparoscopic Ovarian Drilling There are mainly two types of LOD: 1. Electrocautery Ovarian Drilling This is the most commonly used method where a needle electrode delivers heat to puncture small holes in the ovary. 2. Laser Ovarian Drilling This uses a laser beam for precision and minimal thermal spread, though it is less common due to higher equipment costs. Both techniques aim to destroy the androgen-producing stroma while preserving healthy ovarian tissue. Recovery and Aftercare Most women recover quickly after LOD. Mild abdominal discomfort, bloating, or shoulder pain from the gas used during laparoscopy are common but temporary. Ovulation may resume as early as four weeks after the procedure. Doctors usually recommend trying for natural conception for a few months before considering additional fertility treatments. Long-term care focuses on maintaining a healthy weight, managing insulin resistance, and tracking ovulation. Cost of Laparoscopic Ovarian Drilling in India

3. One of the biggest advantages for international patients is the Cost of Laparoscopic Ovarian Drilling in India. Compared to Western countries, India offers high-quality care at a fraction of the cost. On average, the procedure costs between USD 1,500 to USD 3,000, depending on the hospital, surgeon’s expertise, and location. This cost often includes pre-operative evaluations, the surgery itself, and post-operative care — making it an affordable option for many couples worldwide. Why Choose India for LOD? India is a leading destination for fertility treatments like LOD because of: ● Highly experienced gynecologic laparoscopic surgeons ● World-class hospitals with advanced laparoscopic technology ● Short waiting times and seamless coordination with fertility clinics ● Personalized care and support for international patients ● Cost-effective treatment packages without compromising on quality Conclusion For women struggling with PCOS and failed first-line treatments, Laparoscopic Ovarian Drilling in India offers a safe, proven, and affordable chance to restore fertility naturally. With high success rates, minimal risks, and access to top-notch medical expertise, India continues to be a trusted choice for women hoping to realize their dream of motherhood.