Introducere. Infertilitatea reprezintă o problemă medico–socială de importanță majoră. Rata infertilității la nivel mondial variază de la 10%-29%, cu creşterea progresivă. Scopul lucrării. Studierea a pacientelor cu sindromul overelor polichistice tratate prin drilling-ovarian şi evaluarea ratei fertilității postoperatorii. Material şi metode. S-a efectuat un studiu retrospectiv, care a inclus 103 de paciente, la care s-a efectuat tratamentul laparoscopic cu eşec în Spitalul Clinic Municipal nr.1 în perioada 2009-2012. Rezultate. S-a stabilit că: dereglarea ciclului menstrual a constituit 51,10%, anamneza heredocolaterală agravată – 35% de cazuri, durata infertilității mai mult de 3 ani – 69,7%, obezitatea – 51,1%, cu IMC >30 m2/ kg ‒ 51,1%, anamneza obstetricală complicată – în 27,7%; din patologii extragenitale au predominat afecțiunile sistemului endocrin – 19,1%, aparatului cardio-vascular ‒ 12,8% şi aparatului respirator ‒ 12,8% de cazuri. Pacientele au avut în anamneză 2 şi mai multe laparoscopii în 66%. Concluzii. Rata fertilităţii postoperatorie a fost influenţată de agravarea anamnezei obstetricalginecologice, extragenitale şi heredo-colaterale.

Introduction. Infertility represents a socio-medical problem of a great importance. The rapid incidence of infertility is an alarming concern with a global rate that ranges from 10% to 29%. Objective of the study. The paper focused on the study of patients with polycystic ovarian syndrome treated by laparoscopic ovarian drilling and evaluation postoperative pregnancy rate. Material and methods. The retrospective study included 103 patients, which performed the laparoscopic treatment without effect in the Municipal Hospital nr. 1. Results. It was established that: 51.10% developed menstrual cycle disorders; in 35% of cases has aggravated family history, duration of infertility was more than 3 years; 69.7% of obesity with BMI> 30 m2/kg – 51.1%, complicated obstetrical history was 27.7%. from extra-genital pathologies mostly prevailed the disorders of endocrine system ‒ 19,1%, cardiovascular system 12.8% and respiratory system ‒ 12.8% cases. The patients had in the history 2 or more laparoscopies in 66% cases. Conclusions. The pregnancy rate was influenced by complicated obstetrical history, gynecological and extra-genital pathologies, family history.