Surgery by itself, it’s a possibility as well. What do you do during the surgery? With what we call laparoscopy, they go inside your abdomen with the small camera, and they use a needle with electricity or laser to burn a small hole in the ovaries. That decreases the production of androgen, that can bring back ovulation, decrease the metabolic problems, and increase the chance of pregnancy as well. It’s a surgery, so it has some risks. Risks that are higher if you have obesity. The risks are bleeding, blood transfusions, infections. You have risks also of trauma to the organs in the pelvis like the bladder and the bowel. When we do that technique, patients have to understand also that there is a slight chance of decreased ovarian functions. Benefits and risk need to be discussed and decisions made with the patient. When you have polycystic ovary syndrome, you need a whole team to help you. It’s all a group effort to support the patients to make the change that will help our life.
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