Reproductive Surgery

Some women have difficulty conceiving because of problems in their reproductive system. These range from a congenital malformation (birth defect) of the uterus or absence of a vagina, to acquired abnormalities such as polyps, fibroid or endometriosis. If the doctor evaluates you to have any of these conditions, you may need surgery to correct the issue. Reproductive surgeries include Hysteroscopy, Laparoscopy and Myomectomy.

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Is Reproductive Surgery right for me?

IVF was developed to treat infertility caused by tubal damage, endometriosis, sperm disorders and unexplained factors. Whether the patient needs IVF will depend on the infertility diagnosis and the treatment plan required in addressing the condition.

Endometriosis

Laparoscopy can be performed as a diagnostic to determine whether any endometrioses or abnormalities of the fallopian tubes or ovaries exists. Currently it is a mode of access to perform surgical procedures allowing for removal of endometriosis, tubal surgery or myomectomy.

Fibroids, polyps, scar tissue or uterine septum

A Hysteroscopy is a procedure that can be performed to exlude any fibroids, polyps, scar tissue or a uterine septum. If it has been determined that there are uterine fibroids, a Myomectomy can be performed to remove these symptom-causing fibroids and to reconstruct the uterus. A Myomectomy can be performed Hysteroscopically or Laparoscopically.

Unexplained Infertility

Laparoscopy can also help when a woman has unexplained infertility. This is the diagnosis when results of other diagnostic tests were normal, but a woman is still unable to conceive. By taking a look at the reproductive organs, the doctor may be able to identify conditions that are preventing conception and are otherwise undetectable.

Infertility and its treatment can be quite stressful from an emotional, physical and financial point of view. We encourage partners to be supportive and participate in the treatment process. It can also be helpful to develop a network of supportive friends and relatives.

Laparoscopy process

This procedure involves using a laparoscope (like a small camera on an instrument) to look inside your pelvic area. Laparoscopy can also help when a woman has unexplained infertility. This is the diagnosis when results of other diagnostic tests were normal, but a woman is still unable to conceive.

Undergo anaesthesia

Before the procedure you will receive anaesthesia to ensure you are not awake and cannot feel any pain.

Laparoscope insertion

The needle is removed and a small camera on a laparoscope is inserted through a tiny incision. A second incision is made to insert a small tool called a probe.

Post care

You will have to remain under observation for a few hours to make sure there were no complications and that you are recovering well. After the surgery you should have someone else drive you home.

Gas injection into abdomen

A needle is inserted into the abdomen and gas is injected to make it easier for doctors to see organs and structures.

Examination

The doctor uses the camera to examine the structures in the abdomen. Depending on what the doctor sees he may inject a dye through the Fallopian tubes to see if they’re open, may attempt to open blocked Fallopian tubes, may remove scar tissue or adhesions or correct abnormalities. At this point a Myomectomy can also be performed to remove fibroids.

Laparoscopy

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Hysteroscopy process

A Hysteroscopy involves a camera being inserted into the vagina gently navigating through the cervix into the uterine cavity. It is typically performed to exclude any fibroids, polyps, scar tissue or a uterine septum.

Local anaesthesia

The procedure is usually done in the rooms, and therefore only local anaesthesia is used. You will still remain awake, although the cervix and the surrounding area will be numb.

Uteral expanding

The doctor uses a liquid or gas that is released through the hysteroscope to expand your uterus so your doctor can have a better view of the inside.

Dilating of the cervix

The opening of our cervix may need to be dilated or made wider with special instruments.

Examination

While shining a light source through the hysteroscope, the doctor looks inside the uterus and the openings of the Fallopian tubes into the uterine cavity. If a Myomectomy is needed, small instruments are inserted through the hysteroscope.

Hysteroscopy

Myomectomy

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