What to expect from ovarian drilling for polycystic ovary syndrome

A surgeon uses a camera through small abdominal openings while you are under anaesthesia. Carefully placed openings are made in ovarian tissue with a chosen surgical technique. The aim is to alter ovarian hormone activity enough to support ovulation; it does not remove the ovaries or cure every feature of polycystic ovary syndrome.

After surgery, abdominal soreness, bloating, fatigue and light bleeding may occur. Your periods may change over time rather than immediately. Follow-up may involve cycle records, hormone tests or ultrasound, and your clinician will explain how pregnancy attempts or other fertility treatment fit into the plan.

Share your medicines, allergies, medical conditions and pregnancy possibility before the operation. Organise transport and support at home, follow fasting and medication instructions, and care for the incisions exactly as directed. Gradually return to activity, avoiding heavy exertion until you receive clearance.

Track pain, bleeding and menstrual changes and attend follow-up even if you feel well. Ovarian drilling is not suitable for everyone, so discuss alternatives and how your broader PCOS care will continue. Read about [Polycystic Ovary Syndrome](/conditions/polycystic-ovary-syndrome/) and [Ovarian Drilling](/treatments/gynaecological-surgery/ovarian-drilling/).

Get prompt medical advice for fever, chills, worsening abdominal pain, heavy bleeding, persistent vomiting, a red or draining incision, painful urination, faintness or breathing difficulty. Sudden severe pain, collapse or severe weakness requires emergency assistance. These signs should be assessed rather than attributed to PCOS or normal recovery.

Ask why drilling is recommended for your PCOS, which alternatives you could try, how the surgeon will limit injury to ovarian tissue, and how ovulation will be checked. Clarify when sex, exercise and fertility treatment can restart, plus the exact symptoms that require an urgent call.