Clinical trial · Interventional
Surgical Ovarian Drilling Versus Hormonal Treatment for Infertility Associated to PolyCystic Ovaries Syndrome (PCOS)
PERCING : Ovarian Drilling Versus Ovarian Stimulation + Intra Uterine Insemination (IUI) + Metformin in the PCOS (PolyCystic Ovaries Syndrome) Treatment
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
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
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Polycystic Ovary Syndrome | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Metformin and FSHr | Drug | — | UNRESOLVED |
| Ovarian drilling by FERTILOSCOPY | Procedure | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- ACTIVE_COMPARATOR
- label
- A
- interventionNames
- Drug: Metformin and FSHr
- type
- ACTIVE_COMPARATOR
- label
- B
- interventionNames
- Procedure: Ovarian drilling by FERTILOSCOPY
Primary outcomes (1)
- measure
- Evaluation of the cumulative rate of on-going pregnancy (>12 weeks of amenorrhoea) obtained during 9 months of follow-up
- timeFrame
- during 9 months of follow-up
Secondary outcomes (5)
- measure
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
- Maximum age
- 36 Years
Show eligibility criteria text
Inclusion Criteria: * Age between 18 and 36 years old * Female patient with PCOS (Rotterdam criteria) * Failure of treatment with Clomiphene Citrate * Informed consent * Female patient with medical assurance * Patient in failure with PCOS and Clomiphene citrate Exclusion Criteria: * Female patient is over 36 years old * Thyroid disease (4\<TSH\<0.3 mUI/L) * Virilizing tumor * FERTILOSCOPY non possible (Douglas cul de sac clinically fixed) * Anormality of SPERMOGRAM (abnormal time of migration of survival) * Prolactin \> 1.5 N * Anormality of 17-OH Progesterone (\<2 ng/mL) * Fallopian tubes non permeable TMS\< 5 Millions * Female patient participant or have been participated to another clinical trial during the last month before the inclusion * Female patient without medical assurance
References
Publications (1)
- BACKGROUNDFernandez H, Watrelot A, Alby JD, Kadoch J, Gervaise A, deTayrac R, Frydman R. Fertility after ovarian drilling by transvaginal fertiloscopy for treatment of polycystic ovary syndrome. J Am Assoc Gynecol Laparosc. 2004 Aug;11(3):374-8. doi: 10.1016/s1074-3804(05)60054-0. PMID 15559352