Zapping ovaries: could a quick procedure replace daily pills for PCOS infertility?
NCT ID NCT06206746
First seen Jun 25, 2026 · Last updated Sep 09, 2026 · Updated 6 times
Summary
This study tests a device that uses heat to ablate (destroy) a small part of the ovary in women with polycystic ovary syndrome (PCOS) who have trouble getting pregnant. The goal is to restore ovulation without needing daily medication. About 195 women will be randomly assigned to receive the procedure or a sham, and researchers will track ovulation rates and side effects over six months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- May Health System (radiofrequency ablation device)
- What this could lead to
- If successful, this could offer a one-time, drug-free option to help women with PCOS ovulate and become pregnant naturally.
- What could go wrong
- This is an early pivotal trial with 195 participants, so results may not apply to all. The procedure carries risks like infection or ovarian damage, and it may not restore ovulation in everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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93 people
The number who actually took part.
- Started
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Mar 2024
- Finished
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Sep 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 40 years
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age ≥ 18 to ≤ 40 years 2. Infertility associated with oligo- or anovulation, AND EITHER: 2.1 Ultrasonographic evidence of PCOS (ovarian volume ≥ 10 mL and/or ovarian antral follicle count per ovary ≥ 20) OR 2.2 Evidence of hyperandrogenemia: either clinical (hirsutism defined as modified Ferriman-Gallwey (mFG) level ≥ 4-6 depending on ethnicity) or biochemical (raised serum concentration of androgens, testosterone ≥ 2.5 nmol/L, or FAI \> 4) 3. At least one ovary with ovarian volume ≥ 10.0 mL and \< 28.0 mL 4. Ovarian accessibility: determined by ability to bring transvaginal ultrasound transducer into close proximity to at least one ovary. (Note: In the situation where only one ovary is appropriately sized according to the preceding criterion, then this requirement applies to the qualifying ovary.) 5. At least one patent fallopian tube and normal uterine cavity as determined by sonohysterogram, hysterosalpingogram, or hysteroscopy/laparoscopy within the last 3 years 6. Has not responded to first-line ovulation induction treatment or is contraindicated for, or declines, such treatment 7. Currently seeking immediate fertility 8. Willing to comply with Clinical Investigation Plan-specified follow-up evaluations 9. Ability to understand study requirements and has sufficient fluency in one of the approved written translations of the Patient Information and Informed consent form 10. Signed informed consent Exclusion Criteria: 1. Currently pregnant 2. BMI \> 40 3. Marked hyperandrogenism (total serum testosterone ≥ 4.5 nmol/L or 130ng/dL) 4. Poor glycemic level control defined as glycohemoglobin (HbA1c) level \> 6.5% 5. Bleeding disorders, such as von Willebrand disease, thrombocytopenia, current use of anticoagulation medication, etc. 6. Active genital or urinary tract infection at the time of the procedure 7. Patient with known or suspected periovarian adhesions 8. Previous ovarian surgery (e.g. ovarian drilling, ovarian cysts surgery, or endometriosis surgery on the ovary) 9. Transvaginal ultrasound transducer cannot be brought into proximity of at least one ovary 10. Presence of a pathologic cyst (i.e. endometrioma, dermoid, etc.) of any size, or a follicle, or functional cyst \>15 mm on transvaginal ultrasound in ovary to be treated 11. Received \> 2 cycles of treatment with gonadotropins for ovarian stimulation without a resulting pregnancy (excludes human chorionic gonadotropin (hCG) trigger injection) 12. Contraindicated to or known previous reaction to anesthesia or sedation regimen 13. Patient not willing to stop all concomitant first-line ovulation induction treatment (clomiphene citrate, letrozole, as well as metformin unless metformin is required for glycemic control) until the 3-month endpoint is reached 14. Male partner's total motile sperm count (TMSC) \< 10 million or not available (unless participant is planning donor sperm IUI) 15. Patient is currently participating in another investigational drug or device study that clinically interferes with the endpoints of this study 16. Known or suspected gynecological malignancy 17. General health condition or systemic disease that may contribute to anovulation, infertility, or represent in the opinion of the investigator, a potential increased risk associated with the May Health system
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Baylor Scott & White Medical Center
Temple, Texas, 76508, United States
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Cypress Medical Research Center
Wichita, Kansas, 67226, United States
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HRC Fertility - Encino
Encino, California, 91436, United States
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Johns Hopkins Fertility Center
Lutherville, Maryland, 21093, United States
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Penn Fertility Care
Philadelphia, Pennsylvania, 19104, United States
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Penn State College of Medicine
Hershey, Pennsylvania, 17003, United States
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Prisma Health - Upstate
Greenville, South Carolina, 29605, United States
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Reach Fertility
Charlotte, North Carolina, 28207, United States
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SIU School of Medicine, Reproductive Endocrinology & Infertility Center
Springfield, Illinois, 62702, United States
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The IVF Center
Winter Park, Florida, 32792, United States
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UCSF Center for Reproductive Health
San Francisco, California, 94158, United States
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UNC Fertility
Raleigh, North Carolina, 27617, United States
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UT Health San Antonio
San Antonio, Texas, 78229, United States
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UW Health Generations Fertility Care
Middleton, Wisconsin, 53562, United States
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University of Iowa Health Care
Iowa City, Iowa, 52240, United States
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University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104, United States
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University of Rochester, Strong Fertility Center
Rochester, New York, 14623, United States
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University of South Florida
Tampa, Florida, 33606, United States
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Washington University Fertility and Reproductive Medicine Center
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Antioxidant supplement tested as fertility booster for PCOS
- Fat tissue talks to the ovaries: scientists probe the hidden link
- Acne may signal hidden hormonal disorder in young women
- Do infertility treatments leave a metabolic mark on children?
- Can tailored acupuncture help untangle PCOS?
- Can AI learn to spot endometriosis and fibroids on ultrasound?