What are the surgical treatment options for infertility in women

Female Infertility is the inability to conceive (after at least one year of trying) or carry pregnancy to term.

Female infertility can be attributed to various conditions such as endometriosis, fibroids, cervical stenosis, ovarian cysts, among others. Although surgical procedures are available for treating infertility  in women, the most commonly known infertility treatment is assisted reproductive treatments such as In Vitro Fertilisation (IVF).

Why Doctors Prescribe Surgical Treatment for Infertility

Fertility experts recommend surgical treatment for infertility in women to check for complications in their reproductive organs. Thereafter, they will opt for various procedures based on the severity of the issue.

Generally, doctors treat the conditions that lead to infertility with minimally invasive laparoscopy and hysteroscopy in an outpatient setting. However, a few surgeries are performed in a state-of-the-art laboratory setup such as the one available at Fertility Point Kenya.

Various surgical options are listed below:
Laparoscopy is a procedure where the fertility doctor uses a narrow fiber optic telescope to insert into your body through a small incision near the navel. There are different laparoscopic procedures performed for various diagnoses and treatments. These are:

  • Tuboplasty: It is done for repairing the fallopian tubes so that a woman is able to conceive.
  • Adhesiolysis: In case of diagnosis of pelvic adhesion, laparoscopy can be used to treat this.
  • Treating endometriosis: Endometriosis often leads to infertility and to treat it, a laparoscopic procedure is performed.

Hysteroscopy is a procedure where the fertility doctor uses a narrow fiber optic telescope to insert into the uterus through the cervix of a woman to check for adhesions inside the uterus and remove them surgically. Various hysteroscopic procedures performed by the doctors include:

  • Myomectomy: Removing fibroids in the uterus
  • Correcting congenital abnormalities of the uterus like uterine septum (septal resection, polyp) or endometrial polyps
  • Adhesiolysis: Removing adhesions present inside the uterus

Microsurgery is performed to treat minor deformities in the reproductive tract. These include:

  • Microsurgical tubal reanastomosis: For reversing a tubal ligation, this microsurgery is performed where the two ends of the fallopian tubes are reconnected.
  • Salpingostomy: This microsurgery is performed to create a new opening in the part of the fallopian tube that is closest to the ovary.
  • Myomectomy: This procedure is also used for removing uterine fibroids.
  • Ovarian cystectomy: This procedure is performed to remove the cysts formed inside the ovary.
  • Salpingectomy: If one of the fallopian tubes develops a buildup of fluid (called hydrosalphinx), Salpingectomy is performed to remove that end of the fallopian tube.
  • Fimbrioplasty: This procedure is carried out on the fallopian tube to rebuild its fringed ends in the case where the part of the tube closest to the ovary either develops scar tissues or is partially blocked.

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