Infertility Treatments

Laparoscopic Fibroid Excision

Laparoscopy is the minimal invasive surgical procedure used to remove the fibroids. Electrocautery, laser and extra-corporeal suture are also used to control the bleeding during the procedure. Fibroid laparoscopic surgery is not suited for large, deep, intramural, multiple and technically inaccessible fibroids.

Fibroids accounts to about 30% of the infertility cases in India. They are usually of 2 types; 1) Body which includes interstitial, submucous and subserous 2) Cervical.

Fibroids accounts to about 30% of the infertility cases in India. They are usually of 2 types; 1) Body which includes interstitial, submucous and subserous 2) Cervical.

In about 75% cases, interstitial fibroids are commonly seen. Most of the fibroids are asymptomatic, if symptoms persists then most commonly seen are heavy or prolonged bleeding, abnormal bleeding, painful periods and infertility.

Fibroids result in the following changes in female reproductive system leading to infertility.

  • Distortion and elongation of the uterine cavity resulting in reduced sperm count.
  • Preventing rhythmic uterine contraction due to fibroids during intercourse resulting in impaired sperm transport.
  • Congestion and dilatation of the endometrial venous plexuses resulting in defect in implantation of an embryo in the lining of the uterus.
  • This might also make ovary not to release an oocyte resulting in irregular menstrual cycles and thereby leading to infertility.

Laparoscopic Endometriosis Surgery

This is the conservative surgery where the endometriosis (abnormal tissue grows outside uterine lining) is removed with the intention to improve the symptoms of pain and subfertility and to preserve the reproductive function simultaneously.

During the laparoscopy, abnormal tissue growth is removed by excision or ablation by electrodiatherapy or laser vaporization. This kind of technique in minimal to mild endometriosis improves the fertility outcome.

The most common symptoms of endometriosis are painful menses, painful sex, chronic pelvic pain, abdominal pain and increased urination. About 30-40% of infertile females are diagnosed with endometriosis.

The Possible Causes of Infertility Due to Pelvic Endometriosis are

  • Ovarian dysfunctions.
  • Tubal dysfunction.
  • Other causes includes abnormal peritoneal fluid, abnormal systemic immune response, increased sperm phagocytosis by macrophages, fertilization and implantation failure..


Laparoscopic Tubal Recanalization
laparoscopic fibroid excision
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