By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 11, 2026

Laparoscopic Ovarian Wedge Resection (LOWR) is a surgical procedure in which a wedge-shaped section of androgen-producing ovarian cortex is removed laparoscopically to normalize hormonal balance and restore ovulation in select patients with PCOS. The procedure reduces ovarian androgen production, which in PCOS drives the cycle of elevated LH, follicular arrest, and anovulation. LOWR has been performed using microsurgical technique with the goal of restoring spontaneous ovulation while avoiding the ovarian hyperstimulation risk associated with pharmacologic ovulation induction. In NaProTECHNOLOGY practice, LOWR is considered a surgical option for patients whose ovulation fails to respond to medical management. Clinicians performing LOWR use careful hemostasis and adhesion prevention to preserve ovarian reserve and reduce post-surgical scarring risk.

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.