Helping you understand the process
Which fertility conditions require surgery?
For women, reproductive surgery includes clearing up scar tissue that may block the fallopian tubes and encase the ovaries (lysis of adhesions), opening blocked tubes (tuboplasty or neosalpingostomy), removal of fibroids (myomectomy), treatment of endometriosis, removal of ovarian cysts (ovarian cystectomy), treatment of problems associated with the endometrial cavity (hysteroscopic polypectomy, myomectomy, lysis of intrauterine adhesions, incision of uterine septum) and correction of pelvic anomalies.
For men, surgical treatments include vasectomy reversal and varicocele repair, a procedure treating varicose veins in the scrotum.
In any case, our fertility specialists offer a variety of innovative, advanced fertility surgeries to address your unique situation.
1. Dilation and Curettage (D&C)
A D&C is performed under anesthesia when there is tissue in the uterus that needs to be removed. It can be used to diagnose abnormal bleeding or to treat a miscarriage if needed to remove the pregnancy tissue. This tissue is examined under a microscope for further insights into your health condition or miscarriage.
2. Diagnostic laparoscopy and hysteroscopy
This test is an important part of a fertility evaluation but it is usually one of the last tests to be done as it is a more invasive procedure. If your history or other tests show an obvious need for IVF, your fertility specialist may advise deferring or not performing this investigation.
Laparoscopy takes place under general anaesthesia with small incisions made at or just below the navel and the pubic hairline. A laparoscope (a small-diameter telescope) is passed through the incision, enabling your fertility specialist to view the ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities.
Your fertility specialist can check that your tubes are open (tubal patency) by injecting dye through the uterus and observing it spill or not through the ends of the fallopian tubes.