About Fertility Surgery Options
There are many causes of infertility. Sometimes there’s a structural problem that can be treated surgically to increase the chances of conception. Before undergoing fertility surgery, consult with your board certified Reproductive Endocrinologist to learn everything you can about the procedure, its benefits and risks, and what you can expect. Ask questions and become well informed before making your decision.
Among the surgical options available to women are:
A doctor performs a hysteroscopy to look at the lining of your uterus with a viewing tool called a hysteroscope. The procedure is performed to find the cause of abnormal bleeding, to remove uterine growths like polyps and small fibroids, and to examine the uterus to see if there’s a problem with its shape or size that’s preventing you from becoming pregnant or causing repeated miscarriages. A hysteroscopy is both diagnostic and therapeutic.
A polyp is an overgrowth of the glandular surface of the endometrium. Polyps are often removed by hysteroscopic surgery to remove any impediments to implantation. Uterine polyps are found in up to 10% of women. Polyps can take up space within the uterine cavity, cause a zone of inflammation and can decrease pregnancy rates. Polyps may be single or multiple and measure between a few millimeters to several centimeters. The cause of uterine polyps is unknown but they seem to develop in response to the hormone estrogen. Most of the time they are asymptomatic, but some women who experience heavy menstrual bleeds, spotting in between menstrual periods or irregular menstrual bleeding may have polyps.
Laparoscopic surgery is a minimally invasive diagnostic and therapeutic procedure that uses a telescopic camera system to visualize abdominal and reproductive organs (uterus, fallopian tubes, and ovaries). The surgeon makes tiny incisions (approximately 0.5 to 1 cm) in the abdomen through which a thin, fiber-optic tube fitted with a light and camera is inserted. Suspicious growths can be biopsied and repairs can be made during a laparoscopy, making more invasive surgery unnecessary.
Fibroids are growths in or on the uterus which are almost always benign. They vary in size and grow inside the uterine cavity (where pregnancies develop), in the uterine muscle wall itself, or on the uterine surface.
Between 30 and 40 percent of women have fibroids. Most uterine fibroids are asymptomatic and women do not even know they have them; they do not require treatment. In some women they can cause abnormal uterine bleeding, abdominal pain, pressure and sub-fertility. These cases are treated surgically with a myomectomy. There are several surgical options, including an abdominal myomectomy, hysteroscopic myomectomy, and laparoscopic myomectomy.
Symptoms of fibroids include:
Most fibroids are diagnosed with transvaginal ultrasound. If your uterine fibroid is close to or protruding into your uterine cavity, your physician may have you obtain a hysterosalpingogram or a saline sonogram to better map out the relationship of your fibroids to the uterine cavity.
RMACT does not perform tubal reversals.
Please consult with your Physician/OBGYN for additional information.
While RMACT recognizes that tubal reversals are an option for women, we do not see it as the optimum way to manage a previous surgery that was meant to be permanent. In women who have had tubal ligations, we have found that the success rates of IVF and pregnancy far exceed the rate of pregnancy even after a so called successful tubal ligation reversal.
If you have any questions about any of these procedures, or would like to schedule a consult to learn more, please contact us.