Fertility Surgery Following your initial testing and assessment, you may be advised to go for fertility surgery to further investigate the causes and there of treat it surgically if possible and hence overcome the problems leading to infertility. FEMALE FERTILITY ENHANCING SURGERY A laparoscopy is a keyhole surgery which is done to check your tubes , the mobitlity of the uterus ovaries and the condition of uterus ovaries and tubes. It can also be used for treatment of the following condition • Endometriosis • Tubal microsurgery • Removal of fibroids • Correction of uterine abnormalities. A laparoscope is introduced through a small incision in the abdomen. A video camera is fitted to an endoscope (a thin telescopic instrument) so the specialist can view the images on a video monitor. If any surgical treatment is needed, special instruments are inserted through 2 small incisions. When the surgery is complete, the instruments are removed and the carbon dioxide gas is released from the abdominal cavity. A stitch closes each of the small incisions. A diagnostic Laparoscopy is performed under general anaesthetic and takes about 30 mins to 1 hrs. Recovery is relatively fast depending on the extent and type of surgery required but generally you can get back to your routine with in 2-3 days. After your operation, you may experience some symptoms that may last for several days, including tiredness, muscle pain, mild nausea, pain or discomfort at the site of the incisions, cramps, a small amount of vaginal discharge or bleeding or a sensation of swelling in the abdomen. HYSTEROSCOPY Hysteroscopy is another minor surgery which involves visualizing the inside of the uterus using a small telescope which is attached to a camera. The entire procedure is recorded and will be shown to you regarding the abnormalities that we may encounter. The common findings are • Arcuate uterus • Polyp • Septum • Adhesions • fibroid laparoscopy and Hysteroscopy are generally done together and help in diagnosing as well as treating the causes of infertility in the same setting.
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