Which specialist performs ovarian drilling?

Ovarian drilling, also called laparoscopic ovarian diathermy, is a keyhole operation on the ovaries. The surgeon uses controlled energy to make small openings in the outer ovarian surface. It may be considered for some people with polycystic ovary syndrome who do not ovulate with medicine, after a fertility assessment.

The treatment is not suitable for every cause of irregular ovulation. A specialist weighs fertility goals, ovarian reserve, previous treatments, and surgical considerations before recommending it.

Ask an obstetrics and gynaecology specialist to review your ovulation history, hormone tests, ultrasound findings, and previous fertility medicines. Bring details of menstrual cycles, pregnancy history, medicines, and allergies. Discuss alternatives, the possible effect on ovarian reserve, anaesthesia, recovery, and what happens if ovulation does not improve.

Read [Ovarian Drilling](/treatments/gynaecological-surgery/ovarian-drilling/) for a procedure overview.

Before surgery, seek urgent assessment for sudden severe pelvic pain, fainting, heavy bleeding, or persistent vomiting. After laparoscopic surgery, contact the team for fever, worsening abdominal pain, increasing redness or discharge at an incision, heavy bleeding, or difficulty passing urine. Emergency care is needed for collapse, severe breathing difficulty, or chest pain.

Why is ovarian drilling being considered for me? What alternatives remain? How will ovulation be monitored afterward? Could the procedure affect ovarian reserve, and when should we review the fertility plan?