Laparoscopy in infertility

 


Laparoscopy for infertility is a minimal invasive surgical technique that utilizes a laparoscope (a fiber-optic tube with light and camera) inserted through at least two minor cuts, frequently in the belly button. The specialist can then visually analyze the pelvic reproductive organs and the pelvic cavity.

Laparoscopy Procedure

The technique might be performed under general anesthesia or local anesthetic and generally takes 30 to 45 minutes. The abdomen is inflated with gas (carbon dioxide or nitrous oxide injected with a needle) to move the organs from the stomach wall so they are visible during the technique.

When the abdomen is expanded, the laparoscope is inserted through the small cuts. The specialist sees the interior of the pelvic cavity on a video screen transmitting the pictures from the camera.

The specialist will search for potential causes for infertility. These could be:

  • Anomalies of the uterus and ovaries
  • Obstructed fallopian tubes
  • Scar tissue
  • Fibroid tumors
  • Endometriosis (which can be confirmed only by means of laparoscopy)

When Laparoscopy is Used?

Possible reasons your doctor may recommend diagnostic laparoscopy include:

  • You experience pain during sexual intercourse
  • You have severe menstrual cramps or pelvic pain at other times in your cycle
  • Moderate to severe endometriosis is suspected
  • Pelvic inflammatory disease or severe pelvic adhesions are suspected
  • Your doctor suspects an ectopic pregnancy (which can be life-threatening if left untreated)

Recovery time of Laparoscopy for Infertility

Post your medical procedure; you may get discharged the same day if there are no complications. Your primary care physician will recommend rest for a few days. However, you may take a long time to recover totally. You will be given different medications for a quick recovery, which may include antibiotics and painkillers.

Risk involved in Laparoscopy

Like any medical procedure, laparoscopy for fertility has expected risks. Just 1-2 percent of patients who go through laparoscopy for diagnosing or treating fertility experience a complication, including sedation related issues. Minor difficulties include disease and skin aggravation at the incision site.

More extreme complications may include:

  • Formation of adhesions and hematomas (swelling due to blood outside a vessel)
  • Allergic reaction
  • Nerve damage
  • Blood clots.

Future Fertility

  • After laparoscopy procedure, your doctor will clarify what your options are for getting pregnant. If you had fibroids eliminated or a fallopian tube fixed, you might have the option to attempt to get pregnant without assistance.
  • In case of endometriosis or PID, the removal of scar tissue may make it conceivable to get pregnant without any additional treatment.

Dr. Prof (Col) Pankaj Talwar, VSM, MD, PhD 9810790063 8287883005

Academic Director, Clinical ART Program, SEART , Gurugram University, Gurugram, Haryana

 Dean Department of Clinical Embryology and Reproductive Sciences Shridhar University,Pilani Rajasthan

 Director at Dr Pankaj Talwar IVF and Fertility Clinics Gurugram|Delhi

 Director at i-Ceat (Clinical & Embryology Academy of ART) India.

 Director i-Consult (IVF and IUI consultancy services India.

 



Location: 16, 1st Floor, M2k Corporate Park Tower-A, Block N, Mayfield Garden, Sector 51, Gurugram, Haryana 122002, India

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