Obesity and polycystic ovary syndrome (PCOS) are common and have important reproductive consequences: ‘metabolic surgery’ – bariatric surgery and laparoscopic ovarian drilling (LOD) – have roles in their management. Using national data to determine age‐stratified incidence rates of these procedures, we found that bariatric surgery is much more common than LOD. While the uptake of bariatric surgery is rapidly increasing, there has been a decline in the use of LOD in young women. It seems likely that other forms of care for PCOS‐related anovulation resistant to clomiphene, such as the use of letrozole or in vitro fertilisation, are taking the place of LOD.

中文翻译：

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澳大利亚育龄妇女的代谢外科手术趋势。

肥胖和多囊卵巢综合征（PCOS）很常见，并具有重要的生殖后果：“代谢性手术”（减肥手术和腹腔镜卵巢钻探术（LOD））在其管理中发挥作用。使用国家数据确定这些手术的年龄分层发病率，我们发现减肥手术比LOD更为普遍。尽管减肥手术的使用量迅速增加，但年轻女性对LOD的使用有所减少。似乎其他形式的针对氯吡芬抗PCOS相关无排卵的护理，例如使用来曲唑或体外受精，也可能取代了LOD。