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Dr. Sonali N Tawde  - Gynaecologist, Thane

Dr. Sonali N Tawde

91 (204 ratings)
MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialis...

Gynaecologist, Thane

16 Years Experience  ·  500 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Sonali N Tawde 91% (204 ratings) MBBS, MS - Obstetrics & Gynaecology & Fellowship In Ferti... Gynaecologist, Thane
16 Years Experience  ·  500 at clinic  ·  ₹300 online
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Hello!<br/><br/>I am Dr. Sonali Tawde. I am a practicing gynecologist and fertility specialist. T...

Hello!

I am Dr. Sonali Tawde. I am a practicing gynecologist and fertility specialist. Today we will discuss about PCOS. What is PCOS? It is polycystic ovarian syndrome which is a complex endocrine disorder mainly seen in the reproductive age group in up to 30% of the females. It is the single most common cause of female infertility. When we want to diagnose PCOS we have to have 2-3 key features which include the absence of ovulation, the rise in the male hormone level called testosterone or DHS and sonographic appearance of polycystic ovaries.

They usually present to us with irregular cycles or infertility mainly because of the ovulatory disturbances. Sometimes especially the young females or college going girls present to us with acne and excessive hair growth on the face and chest. 80 to 90% of these females are either overweight or obese. The severity of the symptoms is directly proportional to the degree of weight gain. In later life, they are more likely to develop type 2 diabetes, an increase in the cholesterol level and hence the metabolic syndrome.

The treatment mainly depends upon the symptoms and duration of the patient. The mainstay of the management will remain lifestyle modification which includes diet, nutrition, exercise and weight loss. If they coming to us for fertility issues then the treatment depends upon the husband's semen parameters, the tubal potency reports and other associated pathological reports. It usually starts from simple ovulation induction with follicular scans to IUI which is Intrauterine Insemination.

If it fails to achieve pregnancy then they may have to go for IVF or ICSI. If they are coming to us for irregular cycles then the medication does help them to get regular menses. One has to remember that PCOS is the condition which cannot be cured but can be definitely controlled. Your participation in the management of PCOS plays an equally important role as that of us. So if any of you is suffering from PCOS, please consult your specialist or gynecologist.

If you want to consult me, please check my Lybrate profile.

Thank you!

read more
Hello!<br/><br/>I am Dr. Sonali Tawde. I am a practicing gynecologist and fertility specialist. T...

Hello!

I am Dr. Sonali Tawde. I am a practicing gynecologist and fertility specialist. Today we will discuss the role of Hysterolaparoscopy in the management of infertility. Hysterolaparoscopy is endoscopy procedure where we put a small telescope in the abdominal cavity to check the female reproductive organs like uterus, the fallopian tube, the ovaries and the surrounding tissues. This is usually indicated in cases of fibroids, endometriosis, pelvic inflammatory diseases, tubal pathologies like tubal blocks, ovarian cyst, complex cyst, tubo-ovarian masses.

Some cases of unexplained infertility where the simple treatment measures do not help to achieve the pregnancy they may also go for Hysterolaparoscopy. Hysterolaparoscopy alone usually deals with the legions in the endometrial cavity like septum, adhesions, submucous fibroids or polyps. Some cases of severe adhesions like Asherman's syndrome or weak submucous fibroid may need a secondary or a relook hysteroscopy.

Those patients who are going for IVF may or may not need a laparoscopy but usually, hysteroscopy is indicated in such cases. Especially if they have a history of recurrent implantation failure or repetitive miscarriages. This procedure usually requires modern equipment, skin surgeon with expertise and a very good OT setup. So if you are going for this procedure, please check if you are doing it at the right place and in the right hands.

Hysterolaparoscopy definitely plays a crucial role in the management of infertility. But before that, it is always better to discuss with your fertility specialist or gynecologist that what are benefits and risks involved in this procedure in particularly your case.

If you want to consult with me or take my opinion please check my Lybrate profile.

Thank You.

read more

Personal Statement

To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies....more
To provide my patients with the highest quality healthcare, I'm dedicated to the newest advancements and keep up-to-date with the latest health care technologies.
More about Dr. Sonali N Tawde
Dr. Sonali N. Tawde is a trusted Gynaecologist & Fertility Specialist in Bapat Urology Hospital, Thane and Aveta Fertility Clinic, Mulund. She has helped numerous patients in her 12 years of experience as a Gynaecologist. She is a MBBS, MS OBSTETRICS & GYNAECOLOGY, DNB OBSTETRICS & GYNAECOLOGY, MRCOG PART1, PGDMLS. You can consult Dr. Sonali N. Tawde at Bapat Urology Centre in Panch Pakhadi, Thane. Book an appointment online with Dr. Sonali N. Tawde and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Gynaecologists in India. You will find Gynaecologists with more than 42 years of experience on Lybrate.com. Find the best Gynaecologists online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Seth G.S.Medical College & KEMH, Parel Mumbai - 2003
MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ) - Sir J.J.Group of Hospitals Byculla - 2009
Dnb - Obstetrics & Gynaecology - National Board New Delhi - 2010
...more
MRCOG - Part 1 - Royal College of London UK - 2010
PGDMLS - Symbiosis University Pune - 2012
Languages spoken
English
Hindi
Marathi
Awards and Recognitions
2nd prize for paper presentation at 'National conference on Labour'
2nd Prize for Poster presentation at FEM conference, Mumbai
Professional Memberships
Association of Medical Consultants, Mumbai (AMC)
Federation of Obstetric and Gynaecological Societies of India (FOGSI)
Indian Medical Association (IMA)
...more
Mumbai Obstetrics and Gynaecological Society (MOGS)
Indian Society for Assisted Reproduction (ISAR)
Fertility Preservation Society (FPA)

Location

Book Clinic Appointment with Dr. Sonali N Tawde

Bapat Urology Centre

Gen. A. K. Viaidya Marg, Panchpakhadi, Thane WestThane Get Directions
  4.6  (204 ratings)
500 at clinic
...more

Aveta Fertility Clinic

Office No.10, Ground Floor, Hallmark Commercial Complex, LBS Marg, Near Vasant Oscar, Mulund WestMumbai Get Directions
  4.6  (204 ratings)
500 at clinic
...more
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"knowledgeable" 8 reviews "Very helpful" 9 reviews "Saved my life" 1 review "Professional" 2 reviews "Prompt" 1 review "Well-reasoned" 4 reviews "Caring" 2 reviews "Practical" 2 reviews

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Infertility & Tubal Block - Understanding The Connection!

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Infertility & Tubal Block - Understanding The Connection!

The fallopian tubes are not mere passages for the egg to travel from the ovaries to the uterus, It is here that fertilization of egg occurs and hence healthy fallopian tubes are essential for conception.

Damaged fallopian tubes is one of the common causes of infertility. This damage can fall under three categories.

  1. Both fallopian tubes blocked

  2. One blocked and one fallopian tube open

  3. Tubal scarring / adhesions/ hydrosalpinx/ pyosalpinx (fluid or pus collection in tubes).

The third is usually an effect of pelvic infections or endometriosis or effect of tubal surgery. Sadly, in most cases, this condition is discovered only after fertility issues occur. Other causes of fallopian tubal scarring/ adhesions include:

  1. STDs such as chlamydia trachomatis and neisseria gonorrhoea

  2. Adhesions caused by ruptured/unruptured ovarian cysts

  3. Endometriosis

  4. Previous ectopic pregnancies

Fallopian tubal scarring/block has no recognizable symptoms. Chronic pelvic pain is the only known symptom and that too can be seen only in severe cases. On diagnosing infertility, your doctor will perform one of following tests to determine the patency of your fallopian tubes.

  1. Sonosalpingogram (SSG) or Hysterosalpingogram(HSG): This is a type of doppler sonography or X ray respectively, where normal saline (SSG) or radio-opaque dye(HSG) is injected into the uterus with the help of a catheter or cannula. If the liquid does not pass through the fallopian tubes, it is said to be blocked. If spill is seen on both sides, tubal patency is confirmed. This however, does not say much about tubal scarring.

  2. Laparoscopy: If SSG or HSG shows tubal block, it needs to be confirmed with laparoscopy, which is considered the gold standard for dignosing tubal pathologies. A small incision is made near belly button and a telescope is passed through the incision. This gives a clear view of genital organs including uterus, tubes and ovaries. A laparoscopy can also be used to rule out other causes of infertility such as endometriosis. These pathologies can also be corrected in laparoscopy in same sitting.

Treatment for infertility caused by tubal block is of two types:

  1. Surgery: This is suggested in cases where tubal recanalization or creating new tubal openings or tubal anastomosis is possible.

  2. In Vitro Fertilization (IVF): Women with dense tubal blocks usually have poor chances of conceiving naturally. Hence, IVF is the preferred treatment mode. However, your doctor may still advise you to undergo surgery in case of hydrosalpinx or pyosalpinx, and remove the damaged tubes prior to IVF to prevent the adverse effects of fluid/pus on IVF outcome.

1 person found this helpful

Fertility Preservation - How Can Cancer Patients Do It?

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Fertility Preservation - How Can Cancer Patients Do It?

Fertility Preservation: Options for Cancer patients

Survival rates among young cancer patients have steadily increased over the past two decades in part because of the development of more effective cancer treatments. Today, both women and men can look forward to life after cancer, yet many may face fertility issues as a result of the disease itself or these lifesaving treatments(chemotherapy or radiotherapy).

Fertility options for Men

Established fertility preservation options for men include A) sperm freezing (cryopreservation), in which a semen sample is collected, frozen, and stored for future use or B) testicular sperm extraction, during which sperms are aspirated from the testes through a short surgical procedure and frozen or C) testicular tissue freezing where tissue is checked for sperms and frozen for later use.

Fertility options for Women

Options for women to have children after cancer have evolved significantly in recent years. Women should be counselled for established techniques such as A) embryo freezing in which hormonal stimulation causes production of multiple eggs, which are removed & fertilized by sperm, embryos are then frozen for future use or B) oocyte freezing where oocytes are directly frozen for future use or C) ovarian tissue freezing, which is not established procedure, It is recommended for prepubertal girls.

Fertility options for Couples

Embryo cryopreservation is an established technique that has been proven to be the most effective one. This process is basically for couples who wish to delay pregnancy e.g.if anyone of them undergoing chemotherapy/radiation treatment or for social reasons in some cases.

Embryo freezing has shown the best results so far amongst all above techniques. They can be frozen for years. Before going ahead with fertility preservation in cancer cases, multiple things need to be taken into consideration which involves teamwork by oncologists, hematologists, fertility specialists, oncosurgeon. It definitely gives solution for those who wish to preserve their dream to parenthood !!!

4326 people found this helpful

Male Infertility

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Male infertility was once neglected , now better understood and considered to be equally common cause seen amongst infertile couples. World health organisation has reduced the cut off range for normal semen parameters over the years. It is the the effect of modern lifestyle, pollution, stress, sedantary habits, lack of physical exercise , that we see more and more men with less semen counts or motility. Addictions like smoking, alcohol, conditions like diabetes mellitus affect sperms to great extent. Taking hot baths increases scrotal temperature which has negative impact on semen. Those who work near high temperatures also experience the same. Most of these adverse effects can be reversed with lifestyle modifications, wt loss, regular exercise, use of anti oxidants. Local infections or varicocoele can also cause semen abnormalities.
So please consult your fertility specialist in case you fail to conceive after one year of trying or earlier depending upon your age.

Infertility - How Does Stress Trigger It?

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Infertility - How Does Stress Trigger It?

In today’s modern era, fast paced society, it is very very common for people to become stressed. In fact, one would almost think that if you aren’t stressed out, there is something wrong with you! Realistically its not a good thing for our bodies in general, and has a major impact on your fertility potential. One may or may not realize the stress factor.

How can Stress affect your Fertility?

Research tells us that stress boosts levels of stress related hormones, such as adrenaline and cortisol, which can inhibit the release of the body’s main reproductive hormone, GnRH (gonadotropin releasing hormone), which is responsible for the release of sex hormones. Subsequently this may suppress ovulation in women, reduce sperm count in men and lower libido in both women and men. Adrenaline,which is a stress relieving hormone and gives your body the rush to face the stress. This hormone alters progesterone levels, which is essential for fertility. Caffeine reduces Prolactin hormone levels, which interferes with ovulation and fertilization. Hence its essential that your stress & anxiety levels are under control.

Chronic Stress also decreases libido:

Chronic stress may cause lack of libido as well as a decrease in general fertility. This has become so common that ,it has been specially termed as 'Stress Induced Reproductive Dysfunction'. Every couple should try to work towards reducing stress levels at work place and home, while going for fertility treatment.

Ways to reduce stress & improve fertility:

If you are having difficulty to conceive, it's imperative that you evaluate your lifestyle and look for the stress factors. Remember defeating the stress may be the solution to your worries.

  1. Reduce stress : The issues in your life may be work or relationship related. You need to learn to balance your personal and professional life. The sooner you do it the better; after all you are preparing yourself to welcome a new born in your life.

  2. Change your reactions: Get a hang of the situation and react accordingly. Over reaction to a situation can harm your body and mind. Stop bothering about every small thing in life.

  3. Let few things be the way they are: Stop getting bothered about people who matter the least in life. Remember, most of the things will fall in place. Let few things be the way they are.

  4. Make it your habit to reduce stress: Call it an obsession or a practice, train your mind to choose practical and possible solutions which will be less stressfull..

  5. Sleep well: Sufficient rest is essential for a healthy mind and body. Meditation or yoga or counseling can work wonders.

Please note that if your fertility reports are normal, then it's just a matter of time. Be calm and composed so that you are able to face the rough waters clearly with your partner. Finally, follow advice of your Fertility Specialists with sincerity & determination.

3 people found this helpful

Hymenoplasty - How Can It Help In Regaining Virginity?

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Hymenoplasty - How Can It Help In Regaining Virginity?

Hymenoplasty, a medical term for hymen repair surgery, is a procedure of reconstructing the thin skin membrane made of elastic and fibrous tissue known as the hymen. Colloquially termed as revirgination, the purpose of hymenoplasty is to reconstruct the hymen, which often gets torn during first intercourse, may also happen after injury or extensive exercise without intercourse(e.g. Cycling, gymnastics)

How is hymenoplasty performed?
In this surgery, the edges of the torn hymen are stitched together in layers. The tissues involved gradually grow back and take the appearance of a natural hymen. In some cases, the vaginal walls are also tightened for achieving a virgin-like form. The process typically takes around 30-40minutes and the area is coated with antibiotic ointment so that it heals within a short span of time. At times, there are no hymenal remnants, or the available parts cannot be used. In such a situation, the procedure can be done with help of vaginal mucosal tissue.

What are the benefits of hymenoplasty?
This aesthetic surgery brings a host of benefits which may include making the first night of courtship special by regaining that symbol of virginity. In some cultures as well as religious communities, a high value is imposed on virginity before marriage. They consider hymen to be a proof of sexual status, rupture of the same can bring about a social disaster. In such situations, hymenoplasty can come to the rescue.

Who is a good candidate for hymenoplasty?
Women who are healthy enough and have realistic expectations about the surgery are the best candidates for hymenoplasty.Those who have hymenal remnants are more likely to have natural hymen post surgery.

How long does it take it recover from hymenoplasty?
In most cases, patients can return to their usual routines the day following the surgery. But it is crucial to avoid strenuous work or exercise. If you have undergone dissolvable suture, then there is no need to remove it. Regardless of the type of stitch, it is mandatory to attend to the follow-up visit to ensure a safe and effective healing of the hymen. One must wait at least 3 to 4 weeks before indulging in sexual intercourse.

3742 people found this helpful

Endometriosis - Ways To Manage It Well!

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Endometriosis - Ways To Manage It Well!

When endometrial tissue that usually grows inside the uterus, starts growing outside uterus, it is called Endometriosis. Pain during or before periods, pain during intercourse, pain while urinating or bowel movements, heavy bleeding, infertility are some of the symptoms of endometriosis.

Treatment of endometriosis usually depends on the following factors:

  1. Age of female
  2. Severity of symptoms
  3. Duration of the symptoms
  4. Future plans for children/ fertility
  5. Associated pathologies

Accordingly the doctor might choose any of the treatment options like:

  1. Medication for Pain: If the symptoms are mild, then the doctor will prescribe some pain  relieving medications like Nonsteroidal anti-inflammatory drugs (e.g. Diclofenac) or anti-spasmodics(e.g.drotaverine)
  2. Hormone Therapy: Hormone therapy is effective, but once you stop them, your symptoms may recur. Some of the hormone therapies include: 
    1. Hormonal Contraceptive pills: Useful in controlling the hormones that are responsible for endometrial tissue growing outside the uterine cavity.
    2. MedroxyprogesteroneThis helps to counter effect estrogen hormone which is responsible for endometrial tissue growth.
    3. Gonadotropin-releasing hormone (GnRH) agonists: Gonadotropin hormones that stimulate ovaries are blocked by these. They bring down oestrogen levels and hence symptoms. It can cause absence of menstruation in some females which is reversible.
    4. Danazol: It is synthetic androgen, suppresses growth of endometrial tissue temporarily.  However, Danazol may not be a favourable option because of its side effects. Females should avoid pregnancy while on this drug.
    5. Dienogest: This newer progesterone molecule, which does not have major side effects and is apporved for use in endometriosis.
    6. Other medications like selective progesterone receptor modulators, immunomodulators, anti angiogenic factors are being evaluated.
  3. Conservative surgery: If you are trying to conceive, then surgical excision or ablation of endometrial tissue is one treatment option.Suboptimal surgery with conservation of maximum ovarian tissue is considered suitable in such cases.
  4. Hysterectomy: In severe endometriosis cases where female has completed her family, hysterectomy is offered wherein the uterus, cervix & if required ovaries can be removed.
3807 people found this helpful

Tubal Function And Infertility!

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane

Fertilisation of human egg and sperm occurs in fallopian tubes. So tubes play a crucial role in transporting egg, sperm and embryo after fertilisation. Any pathology affecting tubes like pelvic inflammatory diseases, genital tuberculosis (kochs), post procedure scarring, hydro/pyosalpinx, to (tubo-ovarian) mass may affect tubal epithelium and hence the function. Affected tubes increase the likelihood of infertility and ectopic pregnancy as well. Tests like sonosalpingography (SSG) and hysterosalpingography (hsg) help us detecting tubal blocks. But they can give false positive reports, in which case laparoscopy is indicated to confirm blocked tubes. Some flimsy blocks can be opened but that may not be always possible. Those couples with bilateral tubal blocks can achieve pregnancy thru IVF (in vitro fertilisation) where fertilisation of egg and sperm happens in IVF lab, embryos are transferred in the womb which helps to achieve pregnancy. 

1 person found this helpful

Polycystic Ovary Syndrome (PCOS)

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Play video

Hello!

I am Dr. Sonali Tawde. I am a practicing gynecologist and fertility specialist. Today we will discuss about PCOS. What is PCOS? It is polycystic ovarian syndrome which is a complex endocrine disorder mainly seen in the reproductive age group in up to 30% of the females. It is the single most common cause of female infertility. When we want to diagnose PCOS we have to have 2-3 key features which include the absence of ovulation, the rise in the male hormone level called testosterone or DHS and sonographic appearance of polycystic ovaries.

They usually present to us with irregular cycles or infertility mainly because of the ovulatory disturbances. Sometimes especially the young females or college going girls present to us with acne and excessive hair growth on the face and chest. 80 to 90% of these females are either overweight or obese. The severity of the symptoms is directly proportional to the degree of weight gain. In later life, they are more likely to develop type 2 diabetes, an increase in the cholesterol level and hence the metabolic syndrome.

The treatment mainly depends upon the symptoms and duration of the patient. The mainstay of the management will remain lifestyle modification which includes diet, nutrition, exercise and weight loss. If they coming to us for fertility issues then the treatment depends upon the husband's semen parameters, the tubal potency reports and other associated pathological reports. It usually starts from simple ovulation induction with follicular scans to IUI which is Intrauterine Insemination.

If it fails to achieve pregnancy then they may have to go for IVF or ICSI. If they are coming to us for irregular cycles then the medication does help them to get regular menses. One has to remember that PCOS is the condition which cannot be cured but can be definitely controlled. Your participation in the management of PCOS plays an equally important role as that of us. So if any of you is suffering from PCOS, please consult your specialist or gynecologist.

If you want to consult me, please check my Lybrate profile.

Thank you!

3491 people found this helpful

Hysterolaparoscopy In The Management Of Infertility

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Play video

Hello!

I am Dr. Sonali Tawde. I am a practicing gynecologist and fertility specialist. Today we will discuss the role of Hysterolaparoscopy in the management of infertility. Hysterolaparoscopy is endoscopy procedure where we put a small telescope in the abdominal cavity to check the female reproductive organs like uterus, the fallopian tube, the ovaries and the surrounding tissues. This is usually indicated in cases of fibroids, endometriosis, pelvic inflammatory diseases, tubal pathologies like tubal blocks, ovarian cyst, complex cyst, tubo-ovarian masses.

Some cases of unexplained infertility where the simple treatment measures do not help to achieve the pregnancy they may also go for Hysterolaparoscopy. Hysterolaparoscopy alone usually deals with the legions in the endometrial cavity like septum, adhesions, submucous fibroids or polyps. Some cases of severe adhesions like Asherman's syndrome or weak submucous fibroid may need a secondary or a relook hysteroscopy.

Those patients who are going for IVF may or may not need a laparoscopy but usually, hysteroscopy is indicated in such cases. Especially if they have a history of recurrent implantation failure or repetitive miscarriages. This procedure usually requires modern equipment, skin surgeon with expertise and a very good OT setup. So if you are going for this procedure, please check if you are doing it at the right place and in the right hands.

Hysterolaparoscopy definitely plays a crucial role in the management of infertility. But before that, it is always better to discuss with your fertility specialist or gynecologist that what are benefits and risks involved in this procedure in particularly your case.

If you want to consult with me or take my opinion please check my Lybrate profile.

Thank You.

3586 people found this helpful

Hysterolaparoscopy In Infertility - What Should You Know!

MBBS, MS - Obstetrics & Gynaecology & Fellowship In Fertility ( IVf Specialist ), Dnb - Obstetrics & Gynaecology, MRCOG - Part 1, PGDMLS
Gynaecologist, Thane
Hysterolaparoscopy In Infertility - What Should You Know!

Infertility is a emerging health concern today. According to the Indian Society of Assisted Reproduction, around 10-15% of Indian women are affected by infertility. The rate goes up in urban areas where every one in six women is diagnosed infertile. Around 27 million couples in India require assistance to reproduce.

What is hysterolaparoscopy?

This is an endoscopic procedure, where small telescope is introduced in abdominal cavity. Reproductive organs like uterus, ovaries, fallopian tubes, pouch of douglas are examined under magnified view. It can be diagnostic or operative scopy in case of any pathologies. Tubal patency can be confirmed using methylene blue dye (diluted one).

Just one session can clear questions relating to tubal patency, ovarian morphology, uterine abnormalities and undetected pelvic pathology. Moreover, other procedures like hysteroscopy guided tubal cannulation, lateral or fundal metroplasty, biopsy, polypectomy, adhesiolysis, septal resection and myomectomy can all be performed in the same sitting.

Which infertility patients benefit from Hystero laparoscopy?

Common indications-

  • Fibroids

  • Endometriosis

  • Unilateral or bilateral tubal block

  • Hydrosalpinx/ pyosalpinx

  • Pelvic inflammatory diseases

  • Septate uterus

  • Asherman's syndrome

  • T shaped cavity

Hysterolaparoscopy is an efficient way to optimize fertility. It is usually done when simple treatment modalities fails to achieve pregnancy or when SSG (Sono salpingo graphy)/HSG(hystero salpingo graphy) suggests tubal block or for other associated pathologies listed above or in cases of unexplained infertility.

Hysteroscopy deals with pathologies in uterine cavity, so plays vital role for women going for IVF, especially those with recurrent miscarriages, thin endometrium, h/o recurrent implantation failures, submucous myomas. Cases with Asherman's Syndrome or big submucous myomas may need second look hysteroscopy. This is a daycare procedure, whereas Laparoscopy needs at least 24 hour hospital stay. The procedure requires advanced equipments & skilled surgeon. It offers speedy recovery and minimum number of stitches on the abdomen. All this has made hysterolaparoscopy, an important tool in the evaluation of infertility.

3708 people found this helpful
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