Approximately 15% of all couples worldwide suffer from infertility, which means a
whopping 48.5 million couples. Infertility has been ranked as the 5th highest disability
globally among women under 50, according to an article by the World Health
Organisation. Some women have difficulty conceiving because of problems in their
reproductive system. These range from a birth defect of the uterus to conditions such as
polyps, fibroids or endometriosis. If such a condition is found during the comprehensive
fertility evaluation, then the doctors suggest surgery to correct the problem.
Most fertility treatments or reproductive surgeries are performed to restore the health of
the ovaries, fallopian tubes and uterus. Some of the surgical procedures available at
Aaradhya, are described below.
Hysteroscopy is a procedure in which a small, telescope-like instrument is inserted
directly into the uterine cavity. The scope allows the surgeon to visualize the uterine
cavity and diagnose conditions such as endometriosis, uterine fibroids, abnormal
bleeding, scar tissue formations and uterine polyps. Surgeons also perform diagnostic
hysteroscopy where the uterus is examined to detect the problem and confirm HSG test
results. If any abnormal conditions are found in diagnostic hysteroscopy, a surgical
hysteroscopy is performed.
This surgery is performed to examine and diagnose conditions like uterine fibroids and
ovarian cysts in the abdominal organs. These organs include the intestines, liver, stomach,
bladder and kidney. The surgeon makes an abdominal incision to access the abdominal
and pelvic cavities. Typically, this procedure has a longer recovery time because the
incision is made through the muscles and the fascia protecting the abdominal and pelvic
organs. Sometimes, however, the surgeon is able to perform a mini-laparotomy using a
much smaller incision, and the patient may leave the hospital after a short observation
period. The decision to proceed with a laparotomy will be discussed in detail before a
planned surgery so the patient understands the risks and benefits.
Laparoscopy is a surgical procedure, performed to view and examine the pelvic organs.
This is a low-risk procedure and does not require big incisions in the abdominal wall. A
laparoscope is a thin tube with lights and high-resolution cameras attached to the end. This
is inserted through the belly button to check for multiple conditions such as tubal defects,
uterine fibroids, ovarian cysts, the build-up of hydrosalpinx and endometriosis. After the
procedure is over, the doctor observes the patient for a few hours before releasing them.
When a fallopian tube is blocked or damaged, sperms are unable to reach the eggs to
fertilise them, and eggs that do get fertilised are unable to reach the uterus. This is a common cause of infertility, which can be cured by different tubal procedures. In Tubal Reanastomosis, a portion of the damaged fallopian tube is removed, after which the two healthy ends are joined. This process is done through laparotomy or laparoscopy. Often,
the end of the fallopian tube is blocked by a fluid called hydrosalpinx. This liquid is drained out through a small cut and then clipped so that no liquid spills into the uterus. This method is carried out right before the embryo transfer for optimum results.
Uterine Septal Resection
One often undetected cause of female infertility and recurrent miscarriage is a uterine septum. This
uterine abnormality, present from birth, essentially divides the uterus in half, hindering a woman’s
chances of successful implantation of an embryo and carrying a baby to term. Fortunately, Uterine
Septal Resection can correct a uterine septum in a large majority of cases.
Women with PCOS usually have ovaries with a thick outer layer. The ovaries make more testosterone.
High testosterone levels can lead to irregular menstrual periods, acne, and extra body hair. Ovarian
drilling, also known as multi perforation or laparoscopic ovarian diathermy, is a surgical technique of
puncturing the membranes surrounding the ovary with a laser beam or a surgical needle using minimally
invasive laparoscopic procedures. This may make it easier to get pregnant.
Reproductive surgeries are mainly performed by doctors to increase the chances of
pregnancy. Visit Aaradhya Fertility Centre, Vizag, to learn more about the surgeries and to
access world-class fertility treatments. Call 88865 92229 today to schedule an