Skip to main content

HOW LAPAROSCOPY HELPS IN INFERTILITY?




Diagnostic laparoscopy helps in identifying the hidden aetiology of infertility so that a therapeutic intervention can be initiated, by avoiding unnecessary empiric medical treatment for ovulation induction. In some patients, diagnostic laparoscopy alters treatment plans, including earlier utilisation of assisted reproductive technology.





Ovarian pathology and tubal blockage are found to be the most common cause of infertility followed by pelvic adhesions in infertile patients undergoing laparoscopy. Cystic ovaries, endometriosis, chocolate cyst, adhesion, or endometriotic implants are also seen.

Polycystic ovary syndrome (PCOS) is a more common disorder, affecting approximately 5–10% of infertile women. Polycystic ovarian disease causes hormonal imbalance in women that is thought to be one of the leading causes of female infertility. It contributes to more than 75% of cases of anovulatory infertility. The main goal of treatment is the induction of single mature egg in a cycle. A judicious management of infertility in PCOS will allow most patients to conceive. Weight loss and clomiphene citrate (CC) are the first-line components of patient’s treatment before gonadotrophins are used. However, during gonadotrophin administration, there is a high risk of ovarian hyper-stimulation and multiple pregnancies. So, surgery with laparoscopic ovarian drilling is often used before gonadotrophins in order to obtain normal ovulatory cycles. Ovarian drilling have the advantage of improving the hormonal milieu, inducing mono-follicular growth, avoiding the risk of ovarian hyper stimulation syndrome and minimizing the rate of multiple pregnancy.





Generally, laparoscopy should be reserved for couples who have already completed a more basic infertility evaluation including assessing for ovulation, ovarian reserve, ultrasound and

hysterosalpingogram for the female and semen analysis for the male. Some couples may choose to skip laparoscopy and proceed to other fertility treatments such as superovulation with fertility
medications combined with intrauterine insemination or in vitro fertilization.






Operative procedures, such as adhesiolysis, ablation of endometriosis, tuboplasty and salpingectomy for hydrosalpinx or pyosalpinx at the time of laparoscopy can enhance
conception, naturally or with intra uterine insemination or in vitro fertilization. 

Also Read –
IVF treatment
Natural IVF
Fibroid Uterus

IVF Failure
Labels:

Comments

Post a Comment

Popular posts from this blog

PCOS INFORMATION

Which is the most common hormone disorder found in women? Polycystic ovary syndrome ( PCOS ) is extremely prevalent and probably constitutes the most frequently encountered endocrine (hormone) disorder in women of reproductive age. Having the disorder may significantly impact the quality of life of women during the reproductive years, and it contributes to morbidity and mortality by the time of menopause. What are the disorders associated with PCOS? PCOS women are at increased risk for coronary heart disease and type 2 diabetes mellitus. Their risk factors include central obesity, hypertriglyceridemia, low levels of high-density lipoprotein (HDL) cholesterol, hypertension, and elevated fasting plasma glucose concentrations. PCOS women should undergo screening for hypertension, abnormal lipid profiles, insulin resistance, and reproductive disorders including cancer of endometrium. What is PAO? A subgroup of women (up to 30%) may have subtle abnorma...
1 comment
Read more

IVF Success Stories

Ambuja was the eldest daughter of Mr. Vaithinathan & Mrs. Devi. She had three sisters and one younger brother. Her father passed away when she was 10 years old and mother used to manage the house with lot of difficulty. But her sorrows didn’t end here. When she was sixteen her mother also died of dengue. She was left out all alone in this world with the responsibilities of four siblings. She had to quit studies and started working in a garment shop so that she could send her brother and sisters to school. Time passed by and she became both mother and father for her siblings, worked hard and managed to educate them up to graduation, thereafter she had to arrange for their marriage. She never cared for herself and by the time she could settle her sister’s marriage she was 37 years old. After her marriage, everybody encouraged her to get married and start a family. Somehow she found a match at 38 years and got married to Mr.Venkatesh. He was also 44 at that time. ...
1 comment
Read more

Surgeries that can enhance fertility

Surgeries that can enhance fertility Fertility enhancing surgeries are usually advised to young women with suspected minimal to moderate disease of tubes, ovaries or uterus. These surgeries may enhance the rate of spontaneous pregnancy or IUI treatment. Usually such surgeries are done by experts through laparoscope to prevent damage to pelvic organs. Fertility enhancing surgeries in female infertility Myomectomy  : Uterine fibroids are the most common tumours in the female. Fibroids in infertile women undergoing assisted reproductive treatment can decrease success rates than do age-matched women with no fibroid. Removal of fibroids(myomectomy) can help these cases. However, myomectomy is restricted to women with unexplained infertility. If you have fibroids growing into the uterine cavity then you are more likely to benefit after  myomectomy . Higher pregnancy rates can be achieved after laparoscopic removal than open surgery. This procedure can be considered i...
Post a Comment
Read more