Reproductive surgery
Hysteroscopy
Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.
In what cases does the fertility specialist recommend this procedure?
- Suspected infertility
- the inability to fully bear the fetus,
- menstrual irregularities,
- suspected uterine tumor
- pathology of the endometrium,
- the presence of intrauterine adhesions.
The desired duration of the operation, if the woman is in reproductive age - 5-7 days after the start of the menstrual cycle.
After the expansion of the cervical canal, the hysteroscope is inserted into the uterine cavity. Next, the doctor carefully examines the uterine cavity, the mouth of the fallopian tubes and the canal itself.
A biopsy, removal of polyps or myomatous nodes can be performed.
At the end of the operation, short-term pain in the lower pelvis can be observed.
Laparoscopy
Laparoscopy may be used to diagnose infertility or to treat a fertility problem.
Laparoscopy is a surgical procedure that involves making one, two, or three very small cuts in the abdomen, through which the doctor inserts a laparoscope and specialized surgical instruments. A laparoscope is a thin, fiber-optic tube, fitted with a light and camera.
The doctor may recommend surgery if:
Hydrosalpinx is suspected. This is a specific kind of blocked fallopian tube. Removing the affected tube can improve IVF success rates.
Endometrial deposits are suspected of reducing your fertility.
Surgery may be able to unblock or repair a fallopian tube.
An ovarian cyst is suspected of causing pain or blocking the fallopian tubes. Sometimes, drainage of the cyst with an ultrasound-guided needle is better. Removal of a large endometrial ovarian cyst may reduce your ovarian reserves.
PCOS. In this case you may need laparoscopic ovarian drilling - involves making three to eight tiny punctures into the ovaries. In women with PCOS who have not ovulated on fertility drugs, this procedure may enable them to ovulate on their own.
After surgery, your doctor will explain what your options are for getting pregnant. If you had fibroids removed or a fallopian tube repaired, you may be able to try to get pregnant without