It is common for women with polycystic ovarian syndrome (PCOS) to not be able to get pregnant since their menstrual cycles are irregular.

Birth control pills like clomiphene and aromatase inhibitors can help regularise a woman’s menstrual cycle, but they also prevent her from becoming pregnant. Increasing the frequency of ovulation and thus the likelihood of becoming pregnant is now possible for PCOS women who take fertility medications.

As a last resort, the doctor may recommend ovarian drilling, or what is more often known as the “wiffle ball procedure.”

There is a thick outer layer of testosterone-producing cells in women with PCOS. Menstrual irregularities, acne, and an increase in body hair are all side effects of an increase in testosterone levels.

In order to reduce testosterone levels, ovarian drilling is used to break down the outer layer of the ovaries. The ovaries will be able to release one egg on a monthly basis, which will help establish regular monthly menstrual cycles. Another benefit is that it increases the likelihood of becoming pregnant.

Ovarian drilling procedure.

Using a laparoscope, an ovarian drill is used to do minimally invasive surgery. A small camera and telescope are inserted into an incision at the belly button. The ovaries can be viewed with a small camera. The surgeon inserts the necessary tools into the lower abdomen through other incisions. He will use these instruments to cut small holes in the ovaries in order to reduce the amount of testosterone produced by the ovaries.

What are the possible risks of ovarian drilling?

Restoring a woman’s menstrual cycle, as well as ovulation, are the primary benefits of ovarian drilling. Because ovarian drilling is one-time only, there is no need to worry about it every month like with fertility medication.. Drilling the ovaries can result in multiple pregnancies for certain women, which is not achievable with fertility medication.

Though ovarian drilling has several advantages, they are not long-term. Over time, ovulation and menstruation may become irregular. Some women with polycystic ovary syndrome (PCOS) may not benefit from ovarian drilling, although it can help them respond better to reproductive medications.

A whopping 61 percent of ovarian drilling procedures are a success. About half of the women who have ovarian drilling become pregnant within a year following the procedure. Some women may experience irregular menstrual cycles following the procedure. The best gynaecologist in Karachi can help you understand the risks and benefits of ovarian drilling and to make an informed decision. Although ovarian drilling issues are rare, they can be serious.

Bleeding and infection are common complications of surgery; laparoscopy can cause bowel and bladder damage and blood vessel damage. Fertility issues, such as clogged tubes or a depleted sperm count, may potentially prevent pregnancy. To put it another way, women who have ovarian drilling may go through menopause earlier than they would have otherwise. Scarring appears between the ovaries and the fallopian tubes after the operation, making pregnancy difficult.

It’s not uncommon for women to return home the same day after an ovarian drilling procedure. Within a week, most women are back at work and able to resume physical activity, such as light exercise like walking.

What are the risks of ovarian drilling?

While deciding to do ovarian drilling, consult the best gynecologist in Karachi to be aware of ovarian drilling problems though they are rare but can be severe.

Others may have other fertility problems (such as blocked tubes or a low sperm count) to prevent pregnancy.


Some of the risks are usually related to surgeries like bleeding, anesthesia, and infection; laparoscopy can cause injury to the bowel, bladder, and blood vessels.

There are also risks to fertility like blocked tubes or low sperm count that prevent pregnancy. 

If the ovary’s damage is of greater extent during the ovarian drilling, then a woman may enter menopause at a younger age than she would have been.

 After the procedure, scarring appears between the ovaries and the fallopian tubes, making it hard to get pregnant.

Ovarian drilling is a routine operation, and most women get back home the same day. Most women resume their physical activity, gentle exercise after five days, and return to work within two weeks.

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