Question

Infertility - How Can Laparoscopy Be Of Help?

Dr.Kajal Mangukiya · Accepted Answer

Laparoscopy is a procedure that helps a doctor to view the abdomen of a woman. The pelvis of a female consists of the uterus, ovaries and the fallopian tube right at the bottom of the abdomen. The process of laparoscopy allows a doctor to witness any abnormalities that might be interfering the ability of a woman to conceive.

Some of the common problems that women encounter in this regard include ovarian cysts, endometriosis, uterine fibroids, pelvic adhesions, pelvic adhesions, etc.

Advantages of Laparoscopy:

Laparoscopy allows correct diagnosis of infertility problems that are often missed by the conventional method of diagnosis. For instance, a woman suffering from severe endometriosis can be rightly diagnosed by employing ultrasound. However, if a woman suffers from mild endometriosis, ultrasound cannot pick it up. Laparoscopy, in this case, can do the trick. Another instance where laparoscopy comes handy is during the diagnosis of pelvic adhesions or scar tissue. Adhesion is a disorder that restricts the fallopian tube to hold the egg during ovulation. Conventional methods such as x-rays, ultrasound, and CT scan fail to rightly diagnose the problem in this case.

Another important advantage of laparoscopy is the fact that, it is a less invasive technique as compared to conventional surgery. Traditional surgery requires making an incision that is several centimeters long. This necessarily means that a patient requires at least 2-3 days in the hospital to heal. In laparoscopy, on the other hand, make several small incisions that heal quickly.

Who has to go undergo laparoscopy?

Laparoscopy surgery is suggested for those women, who have gone through the basic assessment for infertility. Some of the infertility tests that should be undergone before approaching for a laparoscopy include ultrasound, ovulation, ovarian reserve, hysterosalpingogram etc. For men, a basic semen analysis should be done to test fertility. There are instances, where a doctor recommends laparoscopy, if the woman has a history of severe pelvic infection or ruptured appendix.

Things to expect after surgery:

Typically, the incisions are covered with bandages that are removed after twenty-four hours. Medications for nausea and pain are prescribed, to deal with them after the surgery. The recovery time depends on the length and type of the procedure, the present health of the patient, the number of incisions made, complication level of the surgery etc.

Usually, there are no restrictions on food and drink after the procedure is performed. Since anesthesia is given for undergoing the surgery, it is recommended that a person takes rest for at least twenty-four hours before resuming normal activities. The woman cannot return to normal life and work after a few days, from the day of the surgery. But it is recommended to take rest for two weeks.

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