Laparoscopic Ovarian Drilling (LOD): A Specialized Solution for PCOS
Laparoscopic Ovarian Drilling (LOD) is a specialized surgical intervention for women with Polycystic Ovary Syndrome (PCOS) who do not respond to traditional ovulation-inducing medications. At Aikya Fertility, we use this minimally invasive "keyhole" technique to lower androgen levels and trigger natural, regular ovulation. This procedure is a powerful alternative to complex fertility drugs, significantly increasing the chances of a successful IUI Treatment or natural conception.
About This Treatment
What you need to know
Understanding the Procedure for PCOS
In women with PCOS, the outer layer of the ovaries can become thickened, preventing the release of eggs. Ovarian Drilling involves using a laser or fine needle with an electric current to make a few small "drills" or punctures in the ovary. This process reduces the amount of testosterone-producing tissue, balancing your hormones and allowing the ovaries to function normally again. At Aikya, we prioritize "Fertility-Preserving Surgery," ensuring the precision of each puncture to protect your Oocyte/Egg Health.
The Aikya LOD Protocol: Step-by-Step
- Clinical Eligibility: Assessing your response to medications like Clomiphene at our J.P. Nagar or Raghuvanahalli Branch.
- Diagnostic Mapping: A detailed 3D/4D Ultrasound to evaluate the volume and follicle count of the ovaries.
- The Procedure: Performed under general anesthesia in our advanced Facilities. A laparoscope is inserted through a tiny incision in the navel.
- Precision Drilling: 4–5 small punctures are made on each ovary using specialized electrocautery tools.
- Simultaneous Check: We often perform a tubal dye test during the same session to ensure the fallopian tubes are clear for future Ovulation Induction success.
- Recovery: Most patients return home the same day and can resume normal activities within 48–72 hours.
Precision Surgery & Hormonal Balance
Laparoscopic Ovarian Drilling is highly effective because it provides a "long-term" hormonal reset. Unlike daily medications, the effects of LOD can last for several years, helping regulate Menstrual Irregularities naturally. Our surgical team, led by senior gynecologists, ensures that the thermal energy used is strictly controlled to avoid any damage to the surrounding healthy ovarian tissue.
Why Choose Aikya for Ovarian Drilling in Bangalore?
- High Success Rates: Many of our patients achieve spontaneous ovulation within 3–6 months of the procedure.
- Minimally Invasive: Smaller incisions mean less pain, no visible scarring, and a rapid return to work.
- Integrated PCOS Care: We combine surgery with our Srishti Program for weight management and metabolic health.
- Comprehensive Diagnostics: Our in-house Hormone Testing lab tracks your recovery and hormone drop post-surgery.
Treatment Process
Step-by-step journey to better health
Consultation
Reviewing your history of PCOS Management and medication response.
Pre-Op Screening
Blood tests and an ECG to ensure surgical fitness.
Procedure Day
A quick 45-minute surgery followed by 4 hours of observation.
Post-Op Review
Checking the tiny incisions and discussing the timeline for trying to conceive.
Ovulation Tracking
Monitoring your first natural cycle after the procedure.
Key Benefits
Why patients choose this treatment
Who Should Consider This?
Is this treatment right for you?
Women with PCOS who haven't conceived with oral medications, those with high LH levels, and patients seeking a more "natural" way to restore ovulation before considering IVF.
Important Considerations
What to discuss with your doctor
Please consult our specialists to understand how these considerations apply to your individual case.
- Surgical Risks: As with any minor surgery, there are risks of infection or bleeding, though these are extremely rare at our sterile Facilities.
- Not for Everyone: LOD is specifically for "clomiphene-resistant" PCOS; our doctors will determine if you are the right candidate.
- Adhesion Prevention: We use specialized rinsing techniques during surgery to prevent scar tissue formation.
Frequently Asked Questions
Answers to common questions
When performed correctly by the experts at Aikya, it targets only the androgen-producing tissue and does not significantly lower your ovarian reserve.
Many women conceive within the first 3 to 9 months following the surgery.
No, you are under anesthesia during the surgery. You may feel mild abdominal soreness for a day or two after.
You can book your initial evaluation via our Online Appointment portal.