Retrospective analysis of patients ineffectively operated on for the polycystic ovaries syndrome

A retrospective analysis of the efficacy of surgical intervention (demedullation of both ovaries) for the polycystic ovaries syndrome (POS) in 245 women aged 28 to 40 was carried out. Primary POS was diagnosed in 138 women (the ovarian form) and the endocrine metabolic form of the hypothalamic syndrome with secondary POS in 107. The findings showed anovulation to be responsible for infertility in 34.5% of cases, postoperative adhesions in the pelvic organs and obstruction of the uterine tubes in 34.2%, hyperprolactinemia in 11%, endometriosis in 18.3%, and ovarian cysts in 1% of cases. Treatment strategy in patients ineffectively operated on for POS cannot be standard and depends on the diseases which is diagnosed after surgery.