For people who have been having significant trouble in conceiving a baby, it may be advisable to have a laparoscopy to get a clear view of what is happening in your body. Here are some of the issues that can be diagnosed via laparoscopy.
Ovarian cysts, in particular, polycystic ovarian syndrome or PCOS, can interfere with the natural release of ovaries as well as causing significant hormone problems. This can also be extremely painful for the patient. Laparoscopy can examine the condition of the ovaries and in the case where there are one or more particularly large cysts, these can be removed during the surgery using laser treatment. After the surgery, if PCOS has been observed the doctor may recommend medication such as metformin which can help to control the symptoms of PCOS going forward. This can also help to regulate ovulation which can improve the chances of conception.
Blockages in the fallopian tubes
Any blockages in the fallopian tubes, such as scarring from previous sexually transmitted infections, genetics issues or endometriosis can affect the path of the egg to the uterus and subsequent implantation. Laparoscopy can help to identify these issues and in many cases, the blockages can be removed in the same surgery using laser treatments. This is a great way to help ensure the best path to the uterus. If the surgery reveals more serious blockages the doctor can either recommend subsequent surgery or alternative paths to pregnancy such as IVF (in vitro fertilisation).
Adhesions around the uterus
The same surgery can also explore the uterus. Adhesions caused by endometriosis or uterine infections can make it challenging for an embryo to implant even if the fertilisation process is going as planned. These can be removed during surgery and this can often result in a temporary boost to fertility. In the case of endometriosis-related adhesions, these will usually return over time so it is an important to time any laparoscopic surgery at a time where the patient can make the most of this fertility boost (i.e not before a military deployment or other separation unless the patient is using IVF).
laparoscopic surgeries can be a powerful way to diagnose and in some cases treat fertility issues. This can be great for people who have had long standing and hard to diagnose fertility issues and can often provide much-needed direction to the fertility treatments that the patient is pursuing.