Laparoscopy is a surgical procedure that involves making one, two, or three very small cuts in the abdomen, through which the doctor inserts a laparoscope and specialized surgical instruments. A laparoscope is a thin, fiber-optic tube, fitted with a light and camera. Laparoscopy allows your doctor to see the abdominal organs and sometimes make repairs, without making a larger incision that can require a longer recovery time and hospital stay.Your doctor may suggest laparoscopic surgery to help in diagnosing a cause for infertility. Usually, it’s performed only after other infertility testing has been completed.
Why Is Laparoscopy Important? :
Some causes of infertility, like endometriosis, can only be diagnosed through laparoscopy. Laparoscopy allows your doctor to not only see what’s inside your abdomen, but also biopsy suspicious growths or cysts.Also, laparoscopic surgery can treat some causes of infertility, allowing you a better chance at getting pregnant either naturally or with fertility treatments.
How Is Laparoscopy Done? :
Laparoscopy is performed in a hospital, under general anesthesia. Your doctor will give you instructions on how to prepare for surgery beforehand. You will probably be told not to eat or drink for 8 or more hours before your scheduled surgery, and you may be instructed to take antibiotics.You’ll receive an IV, through which fluids and medication to help you relax will be delivered. The anesthesiologist will place a mask over your face, and after breathing a sweet smelling gas for a few minutes, you’ll fall asleep.Once the anesthesia has taken effect, the doctor will make a small cut around your belly button. Through this cut, a needle will be used to fill your abdomen with carbon dioxide gas. This provides room for your doctor to see the organs and move the surgical instruments. Once your abdomen is filled with gas, the surgeon will then place the laparoscope through the cut to look around at your pelvic organs. Sometimes two or three more small cuts are made, so that other thin surgical instruments can be used to make repairs or move the organs around for a better view.
What Do the Results Mean? :
The surgeon will visually evaluate the pelvic organs and surrounding abdominal organs. He or she will look for the presence of cysts, fibroids, scar tissue or adhesions, and endometrial growths. He or she will also look at the shape, color, and size of the reproductive organs. A dye may be injected through the cervix, so the surgeon can evaluate if the fallopian tubes are open.Sometimes, very mild endometriosis is microscopic and cannot be seen by the naked eye with the laparoscopic camera.
What Happens if the Results Are Abnormal? :
Depending on what is wrong, the surgeon may treat the problem during the same surgery. Adhesions, endometrial growths, cysts, and fibroids may be removed in some cases. If the fallopian tubes are blocked, they may be opened, if possible. If an ectopic pregnancy is found, the surgeon will remove the abnormal pregnancy and repair any tissue damage. After surgery, your doctor will explain what your options are for getting pregnant. If you had fibroids removed or a fallopian tube repaired, you may be able to try to get pregnant without help. Also, in the case of endometriosis or PID, the removal of scar tissue may make it possible to get pregnant without further treatment. If after a few months after surgery you do not get pregnant on your own, your doctor may recommend fertility treatments.
