Hi doctor ,I had an ovarian drilling 7y ago , it was very benifecial we were able to conceive three months after the procedure , when my son turned 2 we conceived my daughter. We really want to have a third child we tried naturally for tow  years with no success , had medicated cycles but couldn't get pregnant , my husband had a semen analysis that came back fine , my question is can i have a second ovarian drilling at 35 years old in order to improuve my chances as i don't want to take a lot of hormones   .
Thank you
Yours faithfully

Hello Emma from the U.K.,

PCOD can be treated medically (by medication) in the proper hands and surgery is not necessarily required.  However, ovarian drilling can work to help the ovaries function normally and lead to ovulation (which is the problem with PCOD), so if you are convinced that it is the treatment that you want, then there is no reason why you should not discuss this with your Physician.  I am not a big believer in ovarian drilling, as it is an invasive procedure, and I can treat medically.  But that is going to depend on the Physician that you choose.  

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program

Monterey, California, U.S.A.

for additional information check out my blog at check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  I also now provide an Email Concierge Advisory Service with a 1 year subscription for patients that want easy access to me to answer questions along their journey (women's health, infertility, pregnancy).  Contact me at if you are interested in continuous access to me.  


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Edward Joseph Ramirez, MD, FACOG


I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.


I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, California Medical Association, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists

American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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