Fertility enhancing surgery

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LifeCare ABS fertility enhancing laparoscopic surgery

Diagonostic laparoscopy for infertility

Picture4ALaparoscopy provides thorough scrutiny of tubes, uterus and ovaries to assess their contiguous relationships and also view of the upper abdomen. Diaganostic laparoscopy has 2 key applications – tubal patency and unexplained fertility. In cases where women have no co-morbidities, we normally recommend SSG (Sonosalpingography) or HSG (Hysterosalpingogram). In cases where co-morbidities exist, laparoscopy and dye are highly useful.

Diagnostic laparoscopy in UNEXPLAINED infertility

Laparoscopy is offered especially for young women (<37) as pathology is found in up to 2/3 of cases and ttt (tilt table test) at time of laparoscopy can enhance fertility in up to 20% of cases. It is performed under general anaesthesia and does not change the original ttt plan, so we move directly to ART.

Get full presentation  laparoscopy-in-infertility.

Operative laparoscopy for female infertilityPicture1

Tubal laparoscopic procedures include treatment for

  • Endometriosis
  • PCOS
  • Leiomyoma
  • Adhesions
The key laparoscopic surgery treatments include
  • Tubal Occlusion or clipping
  • Proximal Tubal Occlusion
  • Tubal re- anastomosis for sterilization reversal
  • Salpingectomy before IVF (for all women with unilateral or bilateral hydrosalpinges prior to IVF treatment as it improves IVF pregnancy rates)
  • Laparoscopic drilling for PCOS – Laparoscopic ovarian drilling with either diathermy or laser is an effective treatment for anovulation in women with clomiphene-resistant PCOS. Key advantages of this treatment include
    • No cyclical monitoring of ovulation
    • Several ovulatory cycles, so less cost
    • No increased risk of multiple gestation or OHHS
    • Pregnancy rates are similar to gonadotropin therapy
  • Uterine Leiomyoma – Robotic-assisted laparoscopic myomectomy of myomas with sub-mucosal component significantly improves pregnancy rates (43.3% vs 27.2% and 40% vs 15% respectively)
Role of laparoscopy in male infertility

Varicocele is the most common correctable cause of infertility among males. Varicoceles are present in 15% of the normal male population and in approximately 40% of men presenting with infertility. Laparoscopic surgical treatment eliminates over 90% of the varicoceles.

Contact us today to know more about laparoscopic surgery for fertility enhancement at LifeCare ABS.