Treatments · Reproductive surgery
Surgery to improve your fertility: when it makes sense to operate
Reproductive surgery corrects problems in the uterus, tubes or ovaries that can make pregnancy difficult. It is done without open surgery, and only when operating really helps.
Operating only when it helps
Do I need surgery to get pregnant? Not always. It depends on what is found and where.
At the first visit we review your case and do an ultrasound. If something needs correcting, we explain what it is and whether operating really makes sense.
There are two ways to operate without open surgery. Hysteroscopy goes in through the cervix, with no cuts, and treats what is inside the uterus: polyps, fibroids, scar tissue or a wall dividing it. Laparoscopy uses very small cuts in the abdomen and treats what is outside: scar tissue around the tubes and ovaries, cysts or endometriosis.
Not everything that shows up on a test needs surgery. Many fibroids, for example, cause no problems. Surgery is done when what is there can make pregnancy difficult.
The tubes are a separate case. Sometimes they can be repaired, but surgery does not guarantee they will work again. And when they are badly damaged and filled with fluid, removing them before in vitro may be the better choice, because that fluid lowers the chances of it working.
You almost always go home the same day. After a hysteroscopy, most women are back to their routine the next day; after a laparoscopy, within a few days. We have our own equipment for these surgeries.
You leave the first visit with
- An explanation of your case, based on your own ultrasound.
- A plan designed for you, explained step by step.
No commitment. The office replies and proposes a date.
What patients ask most
Is surgery always needed before fertility treatment?
No. Many findings do not affect pregnancy. Surgery is done when what is there is inside the uterus and can make pregnancy difficult, or when the tubes are badly damaged.
How long is recovery?
After a hysteroscopy, most women are back to their routine the next day or within a few days. After a laparoscopy to remove fibroids, it usually takes two to seven days.
What are the risks?
Like any surgery, it has risks. With hysteroscopy, complications are uncommon: about 2 in every 100 procedures. With laparoscopy, the most common are a bladder infection or skin irritation; the main risk is injury to a nearby organ.
What if I had a tubal ligation?
Tubal ligation reversal has its own page, where we explain when it makes sense and when it does not.
Sources
This page is for information only and does not replace a medical evaluation. It was prepared based on:
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