Laparoscopic Ovarian Wedge Resection (LOWR)

By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated May 7, 2026

A surgical procedure for select PCOS cases, involving removal of a wedge of androgen-producing ovarian cortex to normalize hormonal balance and restore ovulation. Using microsurgical laser techniques, NaPro wedge resection has achieved approximately 70% pregnancy rates, over twice as effective as standard clomiphene citrate treatment (~30%) and higher than reported IVF success rates in PCOS (~23%). This surgical solution restores regular ovulation and does not carry the risk of ovarian hyperstimulation.¹⁰

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