Polycystic Ovary Syndrome Clinical Trial
Official title:
PERCING : Ovarian Drilling Versus Ovarian Stimulation + Intra Uterine Insemination (IUI) + Metformin in the PCOS (PolyCystic Ovaries Syndrome) Treatment
PolysCsytic Ovaries Syndrome (PCOS) is the most frequent endocrinopathy. The first stage of
infertility treatment is Clomiphene Citrate which leads to 50 % pregnancies. In case of
failure, it is possible to propose surgical ovarian drilling or ovarian hyperstimulation
with Intra Uterine Insemination (IUI) which lead to 50% pregnancies each. However, surgical
treatment could be associated to surgical complications, and medical treatment could be
associated to ovarian hyperstimulation syndrome and/or multiple pregnancies.
The aim of this study is to compare the two treatments to demonstrate the equivalence of
efficacy and the diminution of multiple pregnancies by the surgical treatments. After an
ambulatory surgery we will observe the spontaneous fertility during 9 months. For the
medical treatment, Metformin is proposed during 9 months associated with 3 cycles of ovarian
hyperstimulation and IUI if the sperm is normal
PolysCsytic Ovaries Syndrome (PCOS) is the most frequent endocrinopathy. The first stage of
infertility treatment is Clomiphene Citrate which leads to 50 % pregnancies. In case of
failure, it is possible to propose surgical ovarian drilling or ovarian hyperstimulation
with Intra Uterine Insemination (IUI) which lead to 50% pregnancies each. However, surgical
treatment could be associated to surgical complications, and medical treatment could be
associated to ovarian hyperstimulation syndrome and/or multiple pregnancies.
The aim of this study is to compare the two treatments to demonstrate the equivalence of
efficacy and the diminution of multiple pregnancies by the surgical treatments. After an
ambulatory surgery we will observe the spontaneous fertility during 9 months. For the
medical treatment, Metformin is proposed during 9 months associated with 3 cycles of ovarian
hyperstimulation and IUI if the sperm is normal Ovarian drilling will be performed by
FERTILOSCOPY. 126 patients will be necessary in each group (with interval of equivalence :
10%).
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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