Surgical Treatment for PCOD/PCOS - 100% Safe

Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age, leading to irregular periods, infertility, and excess male hormones. If lifestyle changes and medication are not effective, surgery can be considered as a treatment option for PCOS. You can consult specialists at Pristyn Care or book an appointment to learn more about the surgical procedure for PCOS.

Polycystic ovary syndrome (PCOS) is a common endocrine disorder affecting women of reproductive ... Read More

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What is Surgical Treatment for PCOD/PCOS?

Surgical treatment for polycystic ovary disease (PCOD) or polycystic ovary syndrome (PCOS) is considered when other measures, such as lifestyle changes and medications, fail to manage the condition. It is primarily recommended by the doctor when patients suffer from infertility or other complications linked to PCOS, such as diabetes, heart disease, or uterine cancer.

As part of this PCOD problem treatment, two primary surgical procedures, namely laparoscopic ovarian drilling (LOD) and ovarian wedge resection, are carried out by a gynaecologist in an operation theatre (OT). These surgical procedure for PCOS aim to restore regular ovulation by reducing the production of male hormones (androgens) from the ovaries. The suitability of the procedure is determined on a case-by-case basis, taking into account factors such as the patient’s age, severity of symptoms, and fertility desires.

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Types Of Surgical Treatment for PCOD/PCOS

The surgical PCOD problem treatment comprises two main procedures:

Laparoscopic Ovarian Drilling (LOD): This minimally invasive surgery is performed under general anaesthesia. A laparoscope, a slender tube fitted with a camera, is inserted through small incisions in the abdomen to access the ovaries. The excessive androgen-producing tissue is then destroyed with heat or laser energy. This intervention restores hormonal balance, encourages ovulation, and reduces the risk of ovarian hyperstimulation syndrome (OHSS). LOD can induce multiple ovulatory cycles from a single treatment.
Ovarian Wedge Resection: This is a more traditional surgical procedure. It involves removing a wedge-shaped portion of the ovary, which was initially aimed at reducing the ovarian mass to promote regular ovulation. As it’s an invasive method, it’s generally considered only if other methods fail to regulate the menstrual cycle and restore fertility.

Diagnosis Before PCOD/PCOS Surgery

Before opting for surgical PCOD problem treatment, a thorough diagnosis is necessary. This involves a combination of clinical assessments and laboratory tests. These include:

Clinical Assessments: Doctors first look for signs of irregular or absent ovulation; this is often indicated by irregular menstrual cycles or anovulation.
Hyperandrogenism Testing: This is assessed either clinically (e.g., hirsutism, acne) or through blood tests that measure elevated levels of male hormones known as androgens.
Transvaginal Ultrasound: This helps in identifying polycystic ovarian morphology (PCOM). This involves the presence of at least 12 follicles measuring 2–9 mm in diameter in one or both ovaries, or an ovarian volume greater than 10 cm³.
Ruling Out Other Conditions: Other conditions that mimic PCOS symptoms, such as thyroid disorders or adrenal hyperplasia, must be ruled out before making a final diagnosis.

Procedure For Surgical Treatment for PCOD/PCOS

When conservative treatments do not yield desired results, surgical procedure for PCOS may be considered. Here’s how laparoscopic ovarian drilling (LOD) works:

Preparation: After undergoing preoperative evaluations, you will be given general anaesthesia.
Laparoscopy: In LOD, small incisions will be made in your abdomen to insert a laparoscope—a thin tube with a camera—to get a clear view of your ovaries.
Drilling: Using a laser or an electrosurgical needle, multiple holes will be created on each ovary’s surface to destroy tissue producing excessive androgens.
Closure: Post the procedure, incisions are closed with sutures or adhesive strips.

In the case of ovarian wedge resection:

Preparation: Similar to LOD, you will be prepared for surgery under general anaesthesia.
Accessing the Ovary: A larger incision will be made compared to LOD, providing access to the ovaries.
Resection: A wedge-shaped portion of the ovary will be surgically removed to reduce androgen production and restore normal hormonal function.
Closure: After ensuring no excessive bleeding, the incision will be closed.

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Who Is The Right Candidate For PCOD/PCOS Treatment ?

For the surgical PCOD problem treatment, whether it’s right for you or not can largely depend on factors such as:

Severity of Symptoms: If you’re experiencing severe physical symptoms linked to PCOS such as heavy or irregular periods, excessive hair growth, and weight gain, despite trying lifestyle modifications and medication, surgical treatment may be considered.
Ineffectiveness of Medications: If drugs like birth control pills or anti-androgens have been ineffective in managing your symptoms, surgical treatment could be an option.
Fertility Issues: If you have been trying to conceive without success and PCOS has been identified as a cause of infertility, surgical treatment might help improve your chances of getting pregnant. Remember, each case is unique, and your doctor is the best person to guide you towards the most suitable treatment for your PCOS.

Benefits Of Surgical Treatment for PCOD/PCOS

Understanding the surgical procedure for PCOS can be a daunting task, but treatments like laparoscopic ovarian drilling (LOD) offer several significant benefits:

Restoration of Ovulation: LOD is remarkable in its ability to trigger ovulation in 56–94% of women resistant to medication, significantly enhancing fertility prospects.
Hormonal Balance: One major advantage of this procedure is that it aids in reducing androgen levels (male hormones) and can correct hormonal imbalances, leading to more regular menstrual cycles.
Outpatient Procedure: The fact that LOD is typically performed as a minimally invasive outpatient procedure implies shorter recovery times and less postoperative discomfort in contrast to more invasive surgeries.
Long-Lasting Effects: Interestingly, the positive hormonal changes from the surgery can persist for an extended period, potentially reducing the need for ongoing treatments.
Lower Risk of Multiple Pregnancies: Compared to other fertility treatments, LOD has a lower risk of resulting in multiple pregnancies.

How To Prepare For Surgical Treatment for PCOD/PCOS?

Surgical PCOD treatment requires certain preparations to ensure it is safe and effective. Here are some steps you can follow:

Consultation: Initiate a discussion with your Gynaecologist about potential benefits and risks of surgical procedure for PCOS and whether it is the best option based on your symptoms and previous treatment history.
Medical Evaluation: Undergo necessary medical evaluations such as blood tests and imaging studies to assess your overall health and the severity of PCOS.
Lifestyle Modifications: Implement lifestyle changes like weight loss, exercise, and a healthy diet, which can enhance surgical outcomes.
Medication Review: Inform your doctor about all medications you’re currently on, as some may need to be adjusted or paused prior to surgical procedure for PCOS.
Anaesthesia Consultation: An essential step is meeting with an anaesthesiologist to discuss anaesthesia options and any concerns regarding the same.

Recovery Tips and Precautions To Follow After Surgical Treatment for PCOD/PCOS

Recovering from PCOD problem treatment like LOD requires careful attention for proper healing. Below are some tips to aid your recovery:

Rest: Make sure you allow adequate time for rest after surgery and avoid strenuous activities for at least a few weeks.
Pain Management: Use prescribed pain medications as directed by your doctor; over-the-counter pain relievers may also be recommended.
Monitor Symptoms: Keep a close eye on any unusual symptoms, such as severe pain, heavy bleeding, or fever, and contact your doctor if they occur.
Follow-Up Appointments: Attend all scheduled follow-up appointments to monitor recovery progress and address any lingering concerns.
Gradual Return to Activities: Reintroduce normal activities gradually based on your comfort level and your doctor’s advice.

Potential Risks Or Complications Associated With Surgical Treatment for PCOD/PCOS

While surgical procedure for PCOS like LOD are generally safe, they do carry certain risks:

Infection: Similar to any other surgical procedure, there is a risk of infection at the incision site or within the abdominal cavity.
Adhesion Formation: Post-operative adhesions (scar tissue) may develop, leading to complications such as chronic pain or bowel obstruction.
Ovarian Damage: There is a potential risk of damaging ovarian tissue during surgery, which could negatively impact future fertility prospects.
Hormonal Imbalances: Although the goal is to correct hormonal imbalances, some women may experience fluctuations in hormone levels post-surgery.
Anaesthesia Risks: Lastly, risks associated with anaesthesia include allergic reactions or complications related to pre-existing health conditions.

Frequently Asked Questions

What kind of anaesthesia is used during the surgical procedure for PCOD/PCOS?

Most surgical procedure for PCOS/PCOD are performed under general anaesthesia, meaning you’ll be completely unconscious during the operation.

How effective is the surgical procedure for treating the PCOD problem?

Surgical treatments for PCOD, such as ovarian drilling, have shown promising results in many women. These procedures could lower male hormone levels and improve ovulation. However, they are typically considered only when other treatments have proven ineffective.

Do all women with PCOD need surgery?

No, not all women diagnosed with PCOD require surgery. Many PCOD symptoms can be managed effectively through lifestyle changes, diet modifications, and medications. However, in certain cases where these treatments fail to work, surgery might be an option.

How long does it take to recover from surgical treatment for PCOD?

The recovery duration varies from one person to another based on individual health conditions and the type of surgery undergone. However, most women usually recover within a few weeks following surgery.

Can PCOD reoccur after surgical treatment?

Yes, there’s a possibility that PCOD symptoms might reappear after surgery if the patient does not maintain a healthy lifestyle or follow the doctor’s post-care instructions rigorously.

What should I expect during my follow-up visits after the surgical procedure?

During your follow-up visits, your doctor will monitor your recovery process closely. They will assess your hormone levels and menstrual cycles to evaluate the effectiveness of the surgery.

Can surgical treatment for PCOD cause early menopause?

While there are some risks associated with any operative procedure, early menopause is not a common consequence of PCOD surgery. It’s always best to discuss all possible risks and complications with your doctor before opting for surgery.

Can I get pregnant naturally after surgical treatment for PCOD?

Yes, many women have successfully conceived naturally after undergoing surgical treatment for PCOD. The chances of pregnancy depend on various factors including the woman’s age, overall health, and the severity of PCOD prior to the treatment.

Does surgical treatment for PCOD guarantee a cure?

While surgical treatment for PCOD can significantly improve symptoms and hormone balance, it does not necessarily guarantee a complete cure. Post-surgery, maintaining a healthy lifestyle is crucial to prevent a recurrence of symptoms.

How can I manage my PCOD symptoms post-surgery?

Post-surgery, it’s crucial to maintain a balanced diet and regular exercise regimen. Additionally, follow-up visits to your doctor for regular check-ups are important for monitoring your hormone levels and overall health.

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Ujjwala Ray
Aug, 06 2023

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.Pristyn Care's expert management of my PCOS-PCOD was commendable. The doctors took the time to understand my concerns and provided effective solutions. I am now experiencing fewer symptoms and am grateful for Pristyn Care's support throughout the journey..

City : PUNE
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Hansini Marandi
Jul, 28 2023

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5/5

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I struggled with PCOD-PCOS for years, and it was affecting my daily life and self-esteem. Thankfully, I found Pristyn Care, and their gynecological team changed my life for the better. They conducted a thorough diagnosis and explained the condition to me in detail. The treatment plan they designed was personalized to my needs, and they guided me on lifestyle changes to manage PCOD-PCOS effectively. I'm grateful to Pristyn Care for helping me regain control of my health.

City : CHANDIGARH
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Anushka Baghel
Jul, 24 2023

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5/5

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Thanks to Pristyn Care's timely intervention, potential complications from PCOS-PCOD were prevented. Their proactive approach and careful monitoring ensured my well-being. Thanks Pristyn Care

City : CHANDIGARH
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Kaveri Joshi
Jul, 11 2023

5/5

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5/5

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.Dealing with PCOS-PCOD was affecting my fertility, but Pristyn Care's gynecologists were determined to help. They suggested personalized treatments, and I'm thrilled to say that I'm now expecting. Pristyn Care's expertise has given me hope for a brighter future..

City : PUNE
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Rupa Kulkarni
Jul, 09 2023

5/5

Recommends

5/5

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.Pristyn Care's approach to helping me manage my PCOS-PCOD was appreciable. The doctors were attentive and explained the condition in detail. Their treatments were effective, and the follow-up care was comprehensive. I'm grateful for Pristyn Care's care in improving my hormonal health..

City : PUNE
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Megha Singhal
Jun, 29 2023

5/5

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5/5

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.Pristyn Care's management of my PCOS-PCOD has been very helpful. The doctors were understanding and provided effective treatments. I am now experiencing fewer symptoms and feel more confident in managing my health. Grateful for Pristyn Care's care and expertise..

City : PUNE