What is Laparoscopy ?
Laparoscopy uses an instrument called a laparoscope to look into the abdomen. The instrument is inserted through a very small incision in the abdominal wall. Laparoscopy allows your doctor to see inside your body in real time, without a big incision or scar. Your doctor also can obtain tissue samples during this procedure. Laparoscopy and hysteroscopy alone, or simultaneously used in conditions like endometriosis, uterine fibroids, polyps, uterine anomalies.
With hysteroscopy and laparoscopy, surgeons can remove scar tissue, clear the fallopian tubes, and remove fibroids, cysts, or endometriosis lesions. They can also correct congenital abnormalities such as uterine septum or adhesions which can cause miscarriage or preterm labor.
What is Hysteroscopy?
Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of infertility like polyps, fibroids, uterine septum, adhesion etc .
It is also useful for the diagnosis of congenital anomalies and evaluating endocervical anatomy.
How Laparoscopy and Hysteroscopy help in Infertility
Studies have shown that removing endometrial polyps using hysteroscopy improves the chances of fertility and increases pregnancy rates. The recommendation of the American Association of Laparoscopic Surgeons (AAGL) practice guidelines says that polyp in infertile patient should be surgically removed so that success chances of natural conception of assisted reproductive technique, increases.
A systematic review showed that fertility outcomes are decreased in women with fibroids (overgrowth of tissue in uterus ), and removal increases the chances of conception.
Laparoscopy to remove dilated fallopian tubes (hydrosalpinges) is highly recommended as it has also been shown to improve IVF outcomes significantly.
Many Recent researches have shown that laparoscopy can find fertility diagnosis, like endometriosis, in women previously diagnosed with unexplained infertility. Endometriosis can cause scar tissue or distorted uterine anatomy that can hinder fertility. Surgical correction in women with severe endometriosis with unexplained infertility, has been shown to have increased chances of fertility.
Hysteroscopy and laparoscopy are useful tools for the evaluation and treatment of various structural causes of infertility. In many cases, correction of these abnormalities alone will result in pregnancy. Hysteroscopy and laparoscopy can also be performed before an in vitro fertilization cycle to improve the chances of successful pregnancy.
I have an experience of more than 10 years in laparoscopy and hyseteroscopy in infertility patients. A large number of undiagnosed infertility patient get immense help with these simple procedures.
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