Abstract:
This is a Prospective non randomized interventional study. 48 women, those who had
clomifene citrate resistant anovulatory PCOS who admitted to ward 18, teaching Hospital
Peradeniya for LOD were recruited for this study. Blood Samples were collected for early
follicular FSH and LH levels preoperatively. 48 selected women had undergone LOD under
general anesthesia. Relevant laparoscopic findings were documented. Postoperatively they
were assessed in each cycle in between day 10-12 for follicular 1 development by trans
vaginal scan. Serum FSH and LH were assessed at 6 weeks and at 6 months. Mean
preoperative, LH: FSH ratio was 2.3, however at 6 weeks the ratio was
1.3andsubsequentlyat6montbs the FSH/LH was 1.4. Therefore the observed difference at 6
weeks and at 6 months was statistically significant with t values of 4.5 and 4.4 respectively
