[Diagnostic and surgical laparoscopy in polycystic ovary syndrome]. / Diagnosticheskaia i operativnaia laparoskopiia pri sindrome polikistoznykh iaichnikov.

A total of 202 patients with polycystic ovaries were involved in examination. The study has distinguished the laparoscopic signs of polycystic ovaries: smooth glossy tightly stretched surface of the ovaries with a characteristic vascular pattern or loops; the presence of subcapsular cysts. Ovarian section shows small cysts with transparent or yellowish contents. The histologic signs are thickening of the protein coating, increased count of primary, secondary and cystic atretic follicles (by 2-5 times) and a lowered level of tertiary follicles. Clinical and hormonal signs include disordered rhythm of the menstrual cycle, stable anovulation, a high (over 2) LH/FSH index, an elevated T level. Laparoscopic resection of the ovaries to make their size normal is a method of choice among this technique, standard or wide ovarian biopsy.

[Effectiveness of infertility therapy in patients with hyperandrogenism]. / Effektivnost' terapii besplodiia u pacientok s giperandrogeniei.

170 patients of reproductive age with hyperandrogenemia and infertility were examined. 101 (59.4%) patients became pregnant after the complete therapy of infertility. The examination of patients after non-effective therapy stated that they had had more height stage of androgenemia and remarkable deviation in results of genetic observation in comparison with the same indications of the pregnant women.

[The role of endoscopic methods in the diagnosis of endocrine infertility in women with persistent anovulation]. / Ro'l éndoskopicheskikh metodov v diagnostike éndokrinnogo besplodiia u zhenshchin so stoikoi anovuliatsiei.

The incidence of stubborn anovulation in patients ineffectively treated with hormones has made up. 22.7%. Laparoscopy and biopsy of the ovaries followed by histologic and morphometric examinations of ovarian tissue have detected three characteristic types of the ovaries in the cases with stubborn anovulation in the presence of LH and FSH dissociation and elevated gonadotropin content. Laparoscopic biopsy of the ovaries in not only a diagnostic, but a therapeutic method as well.