Advanced Reproductive Surgery
Should I Consider Surgery?
Surgery can be performed to increase the likelihood of a successful pregnancy. Such surgeries are including, but not limited to, removal of fibroids, polyps, and scar tissue that involve the endometrial cavity, removing endometriosis and scar tissue in the pelvic cavity, and microscopically reconnecting fallopian tubes after tubal ligation has occurred.
Laparoscopy is a minimally invasive outpatient surgery in which a laparoscope (a narrow instrument with a camera lens) is inserted into the pelvic cavity so that diagnosis and/or treatment of fertility problems can occur.
Hysteroscopy is a minimally invasive, outpatient surgery, where a long narrow camera is inserted vaginally into the uterus. It does not involve an incision. Polyps, fibroids, and uterine cavity scar tissue can easily and safely be removed through the hysteroscope.
Myomectomy refers to a surgical procedure in which uterine fibroids are removed from the uterus. Fibroids only need to be removed if they are causing pain, pressure, or bleeding problems. Fibroids that involve the uterine cavity and not just the uterine musculature are recommended to be removed if future fertility is desired.
Tubal reanastomosis surgery involves microscopically reconnecting the fallopian tubes after they have been ligated. Women are hospitalized on average for 1 day. Over 90% of the time, 1 or 2 of the fallopian tubes can be successfully reconnected. Subsequent monthly pregnancy rates are dependent on the age of the woman. Ectopic pregnancy rate after tubal reanastomosis is approximately 4-10% of pregnancies.