- When other tests cannot find the underlying cause of infertility, the doctor needs to look directly into patient’s reproductive organs.
- Once patient completes all the basic infertility evaluation, doctor may suggest to undergo laparoscopy.
- It is a diagnostic as well as a therapeutic surgical procedure.
- Laparoscopy is advised to diagnose and treat infertility problems.
What is Laparoscopy?
- Laparoscopy is a surgical and diagnostic procedure to check a woman’s reproductive system.
- A laparoscope is inserted into the abdomen through a small incision. The laparoscope has a high-resolution camera at the front, which sends images to a video monitor.
- A surgeon can visualize uterus, fallopian tubes, and ovaries to determine the causes of infertility.
- Laparoscopy is less painful and needs minimal incision. With fast recovery, it requires a short hospital stay. It helps in both the diagnosis and treatment of infertility issues.
- It is also called keyhole surgery or Band-Aid surgery.
Laparoscopy for Infertility
- Laparoscopy for infertility is generally advised when women have unexplained infertility, that is when all other fertility test results are normal.
- Laparoscopy can help the doctor to determine the underlying cause of infertility, such as:
- Blocked fallopian tubes, Hydro salpinx
- Scar tissue build-up, Adhesions
- Fibroid, Ovarian cyst
- Other anatomical abnormalities of the reproductive system
- Using laparoscopy doctors not only diagnose but also remove the underlying anomaly causing infertility, giving a chance for natural conception.
- In case of any suspicious growth, a biopsy can be taken during laparoscopy.
- Laparoscopy can be used to remove scar tissue or a fibroid and treat conditions like endometriosis or hydrosalpinx.
- Laparoscopy, by helping in the diagnosis and treatment of these problems increases the chances of pregnancy.
Treatment of endometriosis –
- In endometriosis, endometrial tissue grows outside the uterine cavity instead of lining it.
- This causes severe pain, heavy menstrual bleeding and also infertility.
- Endometriosis causes inflammation of fallopian tubes, scarring, or even blockage.
- Laparoscopy can resolve this issue by removing the lesion caused by endometriosis.
Ovarian cystectomy –
- These are the fluid-filled sacs that sometimes cause extreme pain and discomfort.
- When removal of the cyst is needed, laparoscopy is the best option.
- It is the removal of fibroids from the uterus.
- These fibroids cause pelvic pain, heavy menstruation, and distortion of uterine cavity making it difficult to conceive.
- Myomectomy can be done successfully by laparoscopy with minimal incision.
Lysis of uterine adhesions –
- It is a procedure of removal of adhesions from the uterus.
- Laparoscopic adhesionolysis reduces the risk of any future adhesions, thus increases the chances of fertility.
- Laparoscopic surgery is an excellent option for women facing infertility issues.
- laparoscopy avoids large open wounds and has faster recovery.