Laparoscopic ovarian biopsy in hypergonadotropic amenorrhea

After reviewing the different etiopathogenetic hypotheses of hypergonadotropic amenorrhea, the AA. describe six clinical cases, four of which classifiable as early menopause and two as syndrome of resistant ovary. The basic role of laparoscopic ovarian biopsy in the attainment of a correct diagnosis is emphasized. Prognosis in terms of fertility is related to the residual follicular endowment which, even when extremely low, justifies a stimulating treatment, as demonstrated in the case reported in detail.