Surgery to correct medical conditions
Certain medical conditions, such as problems with your fallopian tubes, endometriosis, or
fibroids, can cause fertility issues. In many cases, surgery can treat these problems, restoring
your chance to conceive. And thanks to medical advances, most of these procedures are minimally
invasive and have a short recovery period.
Here’s a list of common fertility-related surgeries:
Laparoscopy: Sometimes used as a diagnostic tool, laparoscopy involves the
insertion of a small, lighted camera into the pelvic cavity, which allows your doctor to check
for things such as scar tissue, endometriosis, and blockages impacting the outer wall of the
uterus, as well as the fallopian tubes and ovaries. If issues are discovered, your surgeon may
use additional surgical tools to correct the problems.
Operative hysteroscopy: In addition to being a diagnostic tool, a hysteroscopy
can also be used to remove tissue or growths that interfere with fertility. Unlike laparoscopy,
which allows your doctor to examine and treat the inner wall of the uterus, operative
hysteroscopy can provide a view of fibroids, scar tissue, polyps, and abnormalities
inside the uterine cavity.
Myomectomy: Myomectomy refers to the removal of uterine fibroids and is
sometimes called fibroidectomy. It’s often done through laparotomy (which is a major surgery—see
below), but can sometimes be done via laparoscopy or hysteroscopy, which are less invasive.
Laparotomy: If minimally invasive procedures are not feasible, your doctor may recommend laparotomy. This is a major surgery, performed under general anesthesia on
an inpatient basis (which means you’ll be spending time in the hospital).