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Endometrial Scratching During Laproscopic Ovarian Drilling in Subfertile PCOS Women

Phase 4
Conditions
Infertility
Polycystic Ovarian Syndrome
Interventions
Procedure: Endometrial Currettage
Registration Number
NCT02140398
Lead Sponsor
Mansoura University
Brief Summary

Laparoscopic Ovarian Drilling is a valid procedure for infertile anovulatory women with polycystic ovarian syndrome who failed to get pregnant or to ovulate with ovulation induction medications as clomiphene citrate or exogenous gonadotropins. The reasearchers supposed that endometrial curettage at time of laparoscopic ovarian drilling may boost fertility in these women.

Detailed Description

Current literature suggests that endometrial biopsy may improve pregnancy rates in infertile women hence the investigators will examine whether this hypothesis will apply to infertile PCOS women undergoing laparoscopic ovarian drilling to overcome ovulatory disfunction or not.

Recruitment & Eligibility

Status
UNKNOWN
Sex
Female
Target Recruitment
500
Inclusion Criteria
  1. subfertile women with anovulatory infertility due to polycystic ovarian syndrome (PCOS).
  2. Women who failed to get pregnant after at least 6 months of ovulation induction cycles with clomiphene citrate or exogenous gonadotropins
  3. Patent Fallopian tubes as confirmed by hysterosalpingography
  4. Fertile semen parameters of the partneraccording to criteria of World Health Organization (WHO 2010).
Exclusion Criteria
  1. women with BMI >30,
  2. age < 18 years or > 39 years,
  3. women with ovarian cysts identified by transvaginal ultrasound
  4. male factor infertility
  5. Tubal factor infertility as suggested by hystrosalpingogram (HSG)
  6. Women with congenital malformations in the uterus as bicornuate or septate uterus as suggested by HSG.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
CurrettageEndometrial CurrettageEndometrial Currettage (endometrial scrapping) will be performed at the time of laparoscopic ovarian drilling
Primary Outcome Measures
NameTimeMethod
live birth rate per woman randomized15 months
Secondary Outcome Measures
NameTimeMethod
pregnancy rate per woman randomised6 months

Trial Locations

Locations (1)

Mansoura University Teaching Hospital

🇪🇬

Mansoura, Egypt

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