Hello, Polycystic Ovary Syndrome (PCOS) is a condition that can cause menstrual irregularities and anovulation (lack of ovulation). Non-ruptured follicles can be a result of anovulation. Laparoscopy may be recommended to diagnose and treat certain gynecological conditions, but it is important to discuss the risks and benefits of this procedure with your doctor before making a decision. In terms of alternative remedies for non-ruptured follicles, there are some natural and holistic approaches that may help regulate ovulation and improve overall reproductive health. Here are a few suggestions: - Diet and lifestyle changes: A healthy diet and regular exercise can help regulate hormones and improve fertility. Consider reducing your intake of processed and sugary foods, and increasing your intake of whole foods, fruits, and vegetables. - Herbal supplements: Certain herbs, such as vitex agnus-castus (chasteberry), may help regulate menstrual cycles and improve ovulation. Speak with a qualified herbalist or healthcare provider to determine the appropriate dosage and duration of use. - Acupuncture: Acupuncture has been shown to help regulate menstrual cycles and improve fertility in women with PCOS. Consider seeking out a licensed acupuncturist with experience in treating reproductive health issues. - Stress management: Chronic stress can negatively impact reproductive health. Consider incorporating stress-reducing activities into your daily routine, such as yoga, meditation, or mindfulness practices. It is important to note that these approaches may not be effective for everyone, and it is always important to discuss any alternative treatments with your caring gynecologist before trying them. In some cases, medical interventions such as ovulation-inducing medications may be necessary to stimulate ovulation and increase the likelihood of pregnancy. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician