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대한생식의학회지 제18권 제2호 2010년
다낭성 난소질환의 치료에 관한 임상연구
목병원 불임클리??;목병원 불임클리??;목병원 불임클리??;목병원 불임클리??;목병원 불임클리??;목병원 불임클리??;
송정수;김은임;김영민;박용석;허광옥;목영자;,
Treatment of Clomiphene Citrate-Resistant Poly-Cystic Ovarian Syndrome
Song, Jung-Su;Kim, Eun-Im;Kim, Young-Min;Park, Yong-Suk;Hur, Kwang-Ok;Mok, Young-Ja;
IVF Center, Department of Obstetrics and Gynecology, Mok Hospital;IVF Center, Department of Obstetrics and Gynecology, Mok Hospital;IVF Center, Department of Obstetrics and Gynecology, Mok Hospital;IVF Center, Department of Obstetrics and Gynecology, Mok Hospital;IVF Center, Department of Obstetrics and Gynecology, Mok Hospital;IVF Center, Department of Obstetrics and Gynecology, Mok Hospital;
Treatment with low-dose follicle-stimulating hormone and laparoscopic laser vaporization is associated with a high rate of ovulation in anovulatory women with polycystic ovarian syndrome (PCOS), but it is not clear which is better. We undertook a randomized controlled study to compare the effects of urinary FSH and hMG using a low dose regimen and laparoscopic laser vaporization of ovaries in sixty women with PCOS. Ovulation occured in 65% subjects and in 71.1% of cycles induced with FSH and in 70% of women and 76% of cycles of those treated with hMG and in 80% of women in laparoscopic laser vaporization of ovaries. A single dominant follicle developed in 62.2% (FSH) and 60% (hMG) of cycles, respectively. Eight singleton pregnancies occured in FSH, hMG group and 12 singleton pregnancies occured in laparoscopic laser vaporization. This study shows that selected patients with PCOS and by induced to ovulate and subsequently conceive by laparoscopically partially vaporizing their ovaries with laser energy.
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