گزارش يك مورد نارسايي زودرس تخمدان به دنبال كوتريزاسيون تخمدان

A CASE REPORT OF PREMATURE OVARIAN FAILURE FOLLOWING LAPAROSCOPIC OVARIAN DIATHERMY

Background & Aim : Polycystic Ovarian Syndrome (PCOS) is the most common endocrine abnormality affecting female reproductive system, (10%) PCOS is the most common cause of infertility due to anovulation. There are long-term health consequences in patient of PCOS such as the increaed risk of developing coronary artery diseases, hypertension, type II diabetes, carcinoma of endometrium, dislipidemia and hyperinsulinimia. Induction of ovulation in the patient with PCOS is done by using of clomiphene citrate and gonadotrophin and surgical inaucted ovulation. One of the complications of induction after cauterization is premature ovarian failure. Cases of ovarian failure have been reported after both wedge resection and laparoscopic surgery. Case report : This case is a 34 years old women who addmited due to oligomenorreh and (PCOS) and has been under laparscopic operation and ovarian diathermy. After a year, she referred due to amenorreh the patient investigated for amenorreh. Laboratory finding determine ovarian failure. (FSH = 58 mlu/ml). Other laboratory findings were normal. Discussion : For preventing from (PCOS), patient selection, cauterization sites and numbers and hormonal tests are very important.