Laparoscopy
Numerous surgical procedures are able to improve female fertility or can correct complications associated with the infertility.
Laparoscopy is a minimally invasive surgical procedure that sometimes might increase chances of getting pregnant by removing abnormalities. Laparoscopy is performed to recover normal uterine shape, for removal of endometrial polyps, for removal of fibroids that might change the normal shape of the uterus, for removal of adhesions in pelvic and uterine cavities.
If fallopian tubes are blocked with adhesion or are filled with fluid (known as hydrosalpinx), doctor recommends laparoscopic surgery for removal of adhesions. In some cases removal of fallopian tubes (salpingectomy) and/or blocking of tubes close to the uterus improves chances of pregnancy with IVF.
One of the most important Question is, when to seek advice from Doctor:
Sometimes it’s difficult to diagnose exact cause of Female Infertility. Many treatments are available, which totally depends on the cause and type of Infertility.
The main sign of infertility is the inability of a couple to get pregnant naturally.
Mostly doctors recommend to try to conceive naturally for a period of at least one year after marriage, before going for any testing or treatment.
If you are not able to conceive after six months of trying, your doctor advice you with some tests and treatment through medicines or then IVF procedure.
If you are in age group of 40 or above, your doctor recommends you straight away to go for IVF procedure.
Doctor might also want to start testing and treatment without any wait, if any of partner has known complications, or have history of any fertility related issue like irregular cycle or painful periods, inflammatory diseases of pelvis, recurrent miscarriages, under treatment for any immunosuppressant diseases, etc.
If a couple is unable to conceive naturally within a reasonable time period, doctor will start evaluation followed by treatment of infertility.
Evaluation of Infertility causes can be done through surgical or non- surgical testing:
Ovarian Reserve Testing involves hormonal profile evaluation including FSH, LH, PRL, AMH along with Trans vaginal scan. All tests are done to check ovarian reserve or any underlying hormonal issues.
Laparoscopy is performed in hospitals or fertility clinics under general anesthesia (GA). Your doctor will provide specific instructions on how to prepare for the surgery. This typically includes sharing your medical history and fasting (avoiding food and drink) for at least 8 hours before the procedure. Upon arrival at the hospital, an operating room (OT) nurse will assist you, administering medications or fluids via an IV.
Once you’re moved to the operating room, an anesthetist will administer general anesthesia. After it takes effect, the surgeon will make a small incision below your belly button and inflate your abdomen with carbon dioxide gas. This creates space for better visibility and movement of surgical instruments. A laparoscope is inserted through this incision, and additional small cuts may be made to insert thin instruments for repairs or better organ visualization.
The surgeon will evaluate your reproductive organs, checking for cysts, fibroids, adhesions, scar tissue, or abnormal growths, as well as the shape, size, and color of the organs. Throughout the procedure, you remain under anesthesia and will not feel any pain.
After the surgery, you may experience a sore throat (caused by the breathing tube), abdominal tenderness, mild bloating from the gas, or slight pain around the incision area. These symptoms are normal and should resolve within a few days. Most patients are discharged the same day with a prescription for pain relievers and antibiotics.
The main sign of infertility is the inability of a couple to get pregnant naturally.
Like other surgical procedures, risks are also associated with Laparoscopy. Common complications may include:
Depending on nature of complications, like adhesions, endometrial growths, cystic structures, and fibroids, the surgeon may decide to treat the problem during Laparoscopy, proper consents are taken from patients. In case, fallopian tubes are blocked, they can be opened sometimes.
After Laparoscopy, surgeon will explain you about future options for getting pregnant either through medicines or IVF. If your fallopian tubes are repaired for any reason like after removal of fibroids, you might be able to conceive naturally.Also after removal of scars tissue, in case of Endometriosis or Pelvic Inflammatory Disease, you might be able to conceive naturally.
And if after Laparoscopy you are not able to conceive naturally after trying for couple of months, you should visit doctor for future treatment
Laparoscopy for diagnosis of infertility is usually performed if completion of hormonal profile and ultrasounds doesn’t give conclusive result. Laparoscopy is mainly done in females with unexplained infertility.
During Laparoscopy biopsy sample of out growths and cystic structures that are supposed to be the hurdle in natural conception are removed and sent for pathological testing. Laparoscopy can also be recommended for female patients who are experiencing severe pelvic pain, most common symptom of endometriosis. Laparoscopy is also used to remove scar tissues that can be a possible cause of abdominal pain.
Infertility consultants suggest you to go for laparoscopic surgery in order to find out possible reasons for infertility. Generally, Laparoscopy is performed only after the completion of other infertility testing. However Laparoscopy should not be done as a part of routine diagnosis.
Often (but not always), if a diagnostic laparoscopy finds problems, the reproductive surgeon will repair, remove, or otherwise treat the issue right away. Laparoscopic surgery is also used to treat some causes of female infertility, like:
When hydrosalpinx is suspected, laparoscopy is done. Hydrosalpinx is a specific kind of fallopian tube blockage. Removal of the affected tube or adhesions can improve success rates of IVF.
Endometrial deposits are another suspected cause of infertility. Removal of Endometrial Deposits not only relieves the pain but also improves chances of natural pregnancy and better result of IVF.
Presence of fibroids might also causes pain, results in distortion of the uterine cavity, or blockage of fallopian tubes. Removal of fibroids also improves success rate of IVF.
Presence of ovarian cyst may also results in severe pain and blockage of fallopian tubes. Sometimes, cyst aspiration with the help of an ultrasound-guided needle is done. Removal of large number of endometrial ovarian cysts may reduce ovarian reserve.
If you are a patient of Poly Cystic Ovarian Syndrome, consultant may recommends you to go for ovarian drilling. In laparoscopic ovarian drilling three to eight tiny punctures are made into the ovaries. Ovarian drilling enables women with Poly Cystic Ovarian Syndrome to ovulate naturally.
Surgery may also be used to unblock fallopian tube (s) or repair of fallopian tubes. Success rates significantly differs when it comes to repair of both tubes. Who were in past not able to ovulate even with the use of fertility drugs.
Best IVF Center in Pakistan Australian Concept Group (ACG) is a group of companies operating since early 1998 with a primary focus on improving the lives of human beings. Infertility Clinic is one of ACG's main businesses and since its inception, ACG is proud to be the pioneer in offering world-class Infertility Treatment options across Pakistan
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© Copyright 2024. All Rights Reserved by Australian Concept Infertility Medical Center
Best IVF Center in Pakistan Australian Concept Group (ACG) is a group of companies operating since early 1998 with a primary focus on improving the lives of human beings. Infertility Clinic is one of ACG's main businesses and since its inception, ACG is proud to be the pioneer in offering world-class Infertility Treatment options across Pakistan
Useful Links
Contact Us
Opening Hours
© Copyright 2024. All Rights Reserved by Australian Concept Infertility Medical Center