Surgical options to counter infertility in women

The human’s body anatomy is complex and can be disrupted by various conditions. These conditions lead to malfunctioning of certain processes happening in the body, like inhibiting a woman’s successful pregnancy. Infertility in women is a common occurrence, and the course of treatment can be both surgical or non-surgical depending on the cause.

There are various surgical procedures that can cure infertility. The call on which procedure to choose is taken by the doctor when they get to know the cause and extent of infertility. The most common conditions in women that lead to infertility, and that require surgical intervention are uterine fibroids, polycystic ovarian syndrome, endometriosis, diseased fallopian tubes along with other minor ones that hinder normal egg development. The most commonly employed surgical methods include laparoscopy, hysteroscopy and microsurgery.

Laparoscopy is an outpatient surgical procedure in which a narrow fiber optic telescope is inserted through an incision near the navel. Cysts in the ovary are commonly removed laparoscopically. Removal of fibroids or any other kind of pelvic adhesions that restrict blood flow is also done by this procedure. A fallopian tube blockage which typically prevents successful conception is also treated through laparoscopy, otherwise through microsurgery. Fertility problems may also develop due to endometriosis, and this condition in which the tissue lines outside the uterus is also handled by the same means!

Sometimes, hysteroscopy may also be employed to take care of intrauterine adhesions or fibroids that cause infertility. During hysteroscopy, a telescope is inserted into the uterus through the cervix to cure any abnormalities. Both laparoscopy and hysteroscopy are outpatient procedures and hence less invasive.

However, most tubal procedures that are undertaken to cure infertility require microsurgery. Sometimes the situation so occurs that even cysts or fibroids may require surgery for removal. In cases of severely blocked fallopian tubes, the doctor may advise to skip surgery altogether and have in vitro fertilization as a means of conception(IVF). Salpingectomy entails removal of part of a fallopian tube as a result of a buildup of fluid. Salpingostomy is done to create a new opening in the tube closest to the ovary when its end is blocked by the buildup of fluid. Sometimes part of the tube closest to the ovary has adhesions or scar tissues so normal egg pick up is prevented. This is corrected through Fimbrioplasty. Reversal of a fallopian tube sterilization procedure called reanastomosis is also performed at times by re-connecting the two ends of the fallopian tubes.

The recovery time for the patient depends on the severity of the condition for infertility, as well as the presence or absence of other fertility problems. Treatment of the underlying disease is imperative as soon as possible and surgical options to cure infertility in women are now more common than ever thanks to advancements in medical technology.

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