How Laparoscopy Can Help you with Infertility?

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Laparoscopy is highly recommended by obstetrician-gynecologist or OB-GYN to diagnose and treat the following conditions that affect fertility in women-

Endometriosis

Recent studies show that over ten million women around the world suffer from endometriosis with almost one-third of women struggling to conceive. In this condition, the tissue which is similar to the uterine lining grows on other parts of the body. The most visible symptom of endometriosis is pelvic pain. Other symptoms of endometriosis are-

     pain during sex
     pain with ovulation
     fatigue
     painful cramps
     frequent urination
     low back pain
     painful bowel movements
     constipation or diarrhea

Blocked fallopian tubes

Another reason for infertility in women could be blocked fallopian tubes. Medically, blocked fallopian tubes are called tubal occlusion.  Blocked fallopian tube restricts the passage for sperm to get to the eggs, as well as the path back to the uterus for the fertilized egg. Some of the reasons for blocked fallopian tubes include scar tissue, infection, and pelvic adhesions.

Fibroids

Fibroids are non- cancerous tumors that develop on the inner lining of the uterus. Generally, fibroids are not cancerous and very few of them are malignant. Although there most don’t show any symptoms some of them are lower backache, constipation, excessive or painful uterine bleeding to anemia. These can cause pain or heavy bleeding. Laparoscopy is recommended by gynecologists to remove them. Fibroids make it harder for the fertilized egg to attach itself to the lining of the womb as a submucosal fibroid changes the shape of the womb, making conception difficult.

Other abnormalities of the reproductive system-
Polycystic ovary syndrome (PCOS) is defined as a disorder caused by hormonal changes.  This is a disorder that is common among women of reproductive age. Women suffering from PCOS tend to have irregular or prolonged menstrual periods or male hormone (androgen) levels are high in them. The ovaries develop several small collections of fluid known as follicles and fail to release eggs regularly. Similarly, polycystic ovary disorder (PCOD) is another hormonal disorder that occurs in women of reproductive age.
Procedure
According to Pristyn Care, gynecologists recommend a laparoscopy to women when they are unable to diagnose the cause of unexplained infertility. The doctor is able to identify the condition which is preventing pregnancy then diagnose and recommend treatment accordingly The person undergoing laparoscopic treatment to treat any of the above-mentioned diseases is injected with anesthesia before the procedure so that they are not awake or able to feel any pain during the procedure. After giving them the anesthesia, a surgeon,
     Inserts a needle into the abdomen
     Injects CO2 into the abdomen to inflate it. This makes it easier to see the organs and structures inside the abdominal cavity
     After that, the doctor removes the needle and inserts a small camera known as a laparoscope through a tiny incision
     Then the doctor makes a second incision and inserts another small tool called a probe
     With the camera, the doctor examines the internal structures in the abdomen. While they use the probe to move or lift organs out of the way.

Benefits of laparoscopic surgery

Risk of bleeding is reduced-

During laparoscopic surgery, the surgeon makes one or more small incisions in the abdomen through which they insert the laparoscope, small surgical tools, and a tube used to pump gas into the abdomen. This is done so that the doctor can look inside and navigate easily.
The size of the incision size is around 0.5-1 cm that the large incision made for open surgery reduces the risk of bleeding.

The healing process is less painful

As compared to recovery in conservative methods in which patients take a long time to recover as only one large incision is made, laparoscopic surgery wound is much smaller and properly bandaged with abdominal sutures. This ensures that the healing process is much fast and less painful.

Chances of scarring is reduced

Traditionally, before the emergence of this treatment, a surgeon had to cut a patient’s belly that was 6-12 inches long. This allowed doctors to see inside the abdominal or pelvic cavity and operate accordingly. Particularly in overweight and obese patients, there is a high risk of infection in the scar tissue, specifically if the surgical wound is larger.

Risk of infection is lessened

The risk of post-operation infection is significantly reduced to a minimal in laparoscopic surgery as there is minimum exposure of internal organs to external contaminants. As laparoscopic surgeries are day-care procedures, patients are generally discharged the same-day. They can return to their daily activities much more quickly.

Risks involved in laparoscopic surgery-

Like any other surgery involve risks, laparoscopy for infertility has potential risks. Individuals who undergo laparoscopy for diagnosing or treating infertility rarely experience a complication, including anesthesia-related issues. Minor complications post-treatment include infection and skin irritation at the incision.

More severe complications include:

     Formation of adhesions and hematomas (swelling due to blood outside a vessel)
     Allergic reaction
     Damage of the nerves
     Blood clots, especially in the legs.
     Breathing or heart problems resulting from the anesthesia given
     Infection can occur with some fever

In some cases, the instrument laparoscope may cause injury to an abdominal or pelvic organ, such as the bowel or bladder due to the movement of the tools inside the abdominal cavity. While an injury can occur in any patient, it is more common in women who have undergone any previous abdominal surgery, pelvic adhesions, or who are overweight.

It is natural for some women to have some bleeding and discharge from their vagina post-surgery. After the recovery, the patient is recommended to visit their gynecologists for routine exams and general health care.

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