Treatment

Diagnostic Laparoscopy and Hysteroscopy

Diagnostic procedures:
Diagnostic laparoscopy and Hysteroscopy are usually combined and we recommend it as an initial approach in selected cases like long-standing infertility. This is a one-day procedure and the patient can resume her activities in a couple of days. But we at our center recommend Diagnostic Hysteroscopy prior to IVF. During laparoscopy, we look for any evidence of Pelvic Tuberculosis, endometriosis, and adhesions. Tubal patency is part of the procedure.

Endometriosis

Diagnostic procedures:
Endometriosis comes in the way of conception in various ways. Endometriosis in the pelvis may cause adhesions which in may hinder the sperm-egg interaction. It sometimes prevents eggs from being released from the ovary. Endometrioma a cyst in the ovary caused by the conglomeration of focii of endometriosis does have an impact on fertility and may need attention either Medical or surgical.

Tubal Cannulation

Proximal tubal occlusion can be taken care of by a Tubal cannulation procedure. This a done either by Hysteroscopy or fluoroscopy. We prefer the Hysteroscopic option as it helps us visualize the cavity at the same time.

Tubal Reversal (Microsurgery)

Tubal Recanalisation is the microsurgical procedure for the reversal of a family planning operation (sterilization). If you desire to have a child subsequently or in an unfortunate circumstance if pregnancy is contemplated, you have an option of reversal operation. The couple needs to undergo some basic tests. The procedure takes about 2 hours. We do use loupes and very fine suture material. We prefer to do it between the seventh to the tenth day of menses. We have been consistently given good success results for this operation. Though the success rate (Carry home baby rate) depends on the age factor and type of sterilization operation, presuming that the sperm count is adequate. Chances are good if the Falope rings are used as we do get the adequate length of the fallopian tube. For post-delivery sterilizations and the use of cautery, chances dip a little.