t he effectiv eness of laparoscopic electrocautery in clomip hene citrate resistant patients with p olycystic ovary syndrome in relation to ovarian size

121 women with polycystic ovarian syndrome and clomiphene citrate resistance underwent laparoscopic ovarian cautery, 63 patients were type i or typical pcos with ovarian volume >8ml and 58 patients were type ii pcos with ovarian volume <8ml. serum concentrations of luteinizing hormone (lh), follicular stimulating hormone (fsh), prolactin (prl), testosterone (t), and dehydroepiandrosterone sulfate (dheas) were checked before cautery and 10 days after operation. this prospective study showed that pcos patients with large ovaries have higher lh levels than patients with normal size ovaries. lh and t levels decreased after laparoscopic ovarian cauterization only in type i. the overall ovulation rate was 91.5% in type i and 89.3% in type ii. pregnancy rate was 60.8% in type i and 66.7% in type ii. there was no significant difference in ovulation and pregnancy rates between the two groups of pc os (p>o.05). it therefore appears that the result of laparoscopic ovarian cauterization does not depend on ovary size in clomphene citrate resistant patients with pcos.