LOD Before IVF/ICSI in PCOS Patients With High AMH
LOD Before IVF/ICSI in PCOS Patients With High AMH
To evaluate the effect of performing laparoscopic ovarian drilling (LOD) before proceeding to
 in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) on the cycle outcomes
 in polycystic ovarian syndrome (PCOS) patients with high antimullerian hormone (AMH) levels
Retrospective case-control study of PCOS women with high serum AMH level (≥ 7 ng/ml) who were
 subjected IVF/ICSI. Women underwent LOD in the preceding 3 months prior to IVF/ICSI (study
 group) will be compared with a control group of women who did not underwent LOD (control
 group)
Inclusion Criteria:

 -  PCOS women subjected to COS through fixed gonadotropin releasing hormone (GnRH)
 antagonist protocol with final triggering of oocyte maturation by GnRH agonist (GnRHa)

 -  Elevated serum AMH level (≥ 7 ng/ml)

 Exclusion Criteria:

 -  Age < 18 years or > 35 years

 -  Body mass index (BMI) < 19 kg/m2 or > 35 kg/m2

 -  Use of cabergoline therapy or coasting to minimize the risk of OHSS