Subfertility or Infertility is the inability of a woman to conceive or conceive to term. Women have infertility for various reasons, such as endometriosis, uterine fibroids, cervical stenosis, and ovarian cysts. While surgery can be used to treat female infertility problems, most infertile women opt for assisted reproductive treatments such as in vitro fertilization (IVF).
Why do doctors recommend Surgery for Infertility?
Doctors recommend surgery for female infertility to detect problems with her reproductive organs and choose different procedures depending on the severity of the problem. At National Hospital Lahore, we treat conditions that cause infertility with laparoscopy and minimally invasive hysteroscopy, which are performed on an outpatient basis. However, very few surgeries are performed in a hospital operating room facilities.
One of the most advanced treatments in Lahore is Laparoscopic surgery for subfertility in women. Prof. Dr Rehana Aamer Khan (MBBS, FCPS) is specially trained in Laparoscopic surgery from Sharjah. Call or visit anytime, if you have any gynecological issues.
Treatments for Subfertility In Women
Some women can improve their fertility with just one or two treatments. Other women may need several different types of treatments to get pregnant.
Stimulate ovulation with fertility drugs.
Fertility drugs are the primary in treating a woman who is infertile due to ovulation disorders. These drugs regulate or stimulate ovulation. Discuss fertility drug options with your doctor, including the benefits and risks of each type.
Intrauterine Insemination (IUI).
During IUI, healthy sperm travel directly into the uterus when the ovaries release one or more eggs for fertilization. Depending on the cause of infertility, the timing of IUI may be coordinated with your regular cycle or fertility medications.
Surgery to restore fertility.
Furthermore, uterine problems such as endometrial polyps, septum, scar tissue in the uterus, and some fibroids is also treated with hysteroscopic surgery. Endometriosis, pelvic adhesions, and larger fibroids may require laparoscopic surgery with a larger abdomen incision.
Open Surgery Or Laparoscopic surgery For Sub Fertility
Additionally, traditional or open surgery done for recurrent endometriosis, anorectal lesions, ovarian diseases, and peritoneal. But only your surgeons can recommend what is best for you.
Laparoscopy is a procedure in which a fertility doctor uses a narrow fiber-optic telescope to insert into your body through a small incision near your belly button. There are different endoscopy procedures for differential diagnosis and treatment.
Prof. Dr Rehana Aamer Khan can help you with infertility in several ways. One technique is minimally invasive procedures (such as laparoscopy and hysteroscopy), we performed at the National Hospital Lahore. However, laparoscopy and minimally invasive interventions often replace other, more invasive techniques where possible. The endoscopic technique avoids large incisions, inflammation, and excess scar tissue.
Laparoscopic surgery has become the surgical method for bariatric surgery and cholecystectomy, especially for gynecologists and infertility. Minimally invasive laparoscopic surgery treats endometriosis, cysts, or fibroids and removes a stable IUD. Let`s look at four different ways this type of surgery can help treat the causes of infertility, manage pain, and maintain fertility later in life.
Endometriosis Treatment
Endometriosis is a condition in which uterine tissue grows outside the uterus rather than lining the uterus, causing severe pain, heavy periods, and sometimes infertility. Common symptoms of endometriosis include:
- Severe pain Or discomfort before or during your period
- Bleeding during menstruation
- Abnormal urination or bowel movements
- Unusually tired
- Painful intercourse
However, infertility is one of the most prominent symptoms and often one of the most distressing. Inflammation of the fallopian tubes and fimbriae causes swelling and scarring, creating an unfavorable environment for sperm and eggs to survive. Additionally, scar tissue can block the fallopian tubes, preventing a fertilized egg from reaching the uterus.
Sometimes, it is frustrating for women looking to start a family. But minimally invasive laparoscopy can solve this problem with cautery, laser, or removal of endometriotic lesions.
Laparoscopic Ovarian Cystectomy
Ovarian cystectomy is the process of removing cysts from one or both of a woman`s ovaries. Ovarian cysts are fluid-filled sacs in the ovaries that usually form during ovulation. Ovarian cysts are generally harmless, but for some women, they can cause severe discomfort, including bloating and abdominal swelling. In rare cases, ovarian cysts can become cancerous.
If the cyst ruptures, it can cause sudden, severe pain that interferes with a woman`s daily activities. For this reason, doctors often recommend surgery to remove cysts that become too large, cause unusual pain, or don`t seem to go away after a menstrual cycle.
Unlike open surgery, minimally invasive laparoscopic treatment is an excellent option because it requires only a tiny incision and removes the cyst while maintaining the integrity of the ovary and surrounding muscles.
Laparoscopic Myomectomy
Another procedure similar to ovarian cyst removal is myomectomy, which removes fibroids from the uterus. Uterine fibroids are usually noncancerous growths in the uterus during a woman`s reproductive years. In addition to pelvic pain and irregular or heavy periods, these fibroids can cause a blockage in the uterus that can make pregnancy more difficult.
With fibroids, the fetus may have difficulty successfully implanting itself into the uterus. Myomectomy is successfully performed with minimally invasive laparoscopy, which reduces excessive blood loss, scar tissue accumulation, obstetric complications. And other risks associated with open surgery that may necessitate a complete hysterectomy.
Dissolution of adhesions
As we have seen in all three cases above, scar tissue in the uterus (i.e., from endometriosis or cesarean section) can be a problem for women trying to conceive. Adhesiolysis is an intra-abdominal procedure to remove scar tissue inside or outside the uterus. Symptoms of uterine adhesions may include
- Light or no menstrual periods
- Severe pelvic pain
- Infertility
- Sometimes repeated miscarriages
Adhesion release is best performed using a minimally invasive laparoscopic/hysteroscopic technique, reducing the risk of additional adhesions after resection. This will increase your chances of future fertility and prevent complications from uterine adhesions.
These four conditions can be successfully treated and overcome with the help of minimally invasive surgery and laparoscopy/hysteroscopy. However, Laparoscopic/hysteroscopic surgery is an excellent option for infertile women who want to reduce risk and avoid the additional complications of major surgery.
So what should I do next?
If you suffer (or suspect you may suffer) from the above, you need unconditional support and expertise to solve the problem and achieve the home of your dreams.
Prof. Dr Rehana Aamer Khan offers comprehensive treatment for all fertility problems, including those requiring surgical treatment, such as laparoscopic surgery. Our team of specialists is experienced in reproductive surgery to increase your chances of conceiving.
Based on your specific situation, create a customized surgical plan that best suits your individual needs. Book an appointment today to learn about your options, laparoscopic surgery, and other fertility treatments.