Fertility enhancing laparoscopy is one of the core treatments offered to infertility couples where they have some structural or functional deformity like:
Fibroids are mass lesions arising from uterine musculature that are known to affect uterine cavity & implantation. Its presence at unwanted locations & larger sizes might increase the risk of Infertility & miscarriage.
Generally is associated with complex ovarian mass leading to falling egg count & reduced chances of fertilisation. Doing IVF with endometriosis in situ leads to difficulty in ovum pick up as ovaries are generally adhered & non approachable, hence chances of difficult pick up with complications & ovarian abscess formation is high. Concerning the same points with endometriosis are advised to undergo laparoscopic correction followed by fertility treatment, these patients respond with higher results to IVF ICSI treatment rather than IUI. Patients with advanced disease with significantly fallen egg reserve & quality sometimes require to end up with donor oocyte IVF treatment, hence earlier intervention helps couples to have higher chances for their biological child.
This generally coexists with endometrioma, adenomyoma is present in uterine walls, it leads to menstrual dysfunction & fertility treatment failure including IVF. Advanced adenomyosis generally leads to recurrent IVF failure & here starts coming to the role of surrogacy, but infertility doctor at VEDA CARE with its well planned & programmed treatment of adenomyosis has taken care of good various cases to undergo a combination of medical & surgical treatment following IVF ICSI treatment & has helped many such couples to deliver their bundle of joy avoiding surrogacy, growing your child within your own womb is the content & joy of motherhood that no women would want to miss.
If present generally diagnosed in HSG is opened Hystro – laparoscopically. Common reasons for fallopian tubal block is pelvic infections, Tuberculosis (TB), postoperative adhesions sometimes can also lead to block, secondary to diseases like endometriosis next to adhesions.
Tubal blocks are opened by cornual catheterisation & fimbrial dilation.
Confirmation of opened tubes is done by a dye ( methylene blue) test