While surgery is not part of the typical infertility evaluation diagnostic laparoscopy is regarded as the definitive test for the evaluation of tubal factors and diagnosis of endometriosis. It allows for a thorough exploration of the pelvic organs (uterus, ovaries, fallopian tubes and peritoneal surfaces), determination if the fallopian tubes are open (patent), and confirmation of suspected pelvic adhesion (scar tissue) or endometriosis.
Repair of an abnormality can often be performed immediately. Repairs may include separation or removal of scar tissue (adhesions), tubal repair to re-open a blocked fallopian tube, destruction of endometrial implants, and removal or drainage of ovarian cysts. This is an outpatient procedure, usually performed under general anesthesia, and you’ll go home a few hours after the procedure.
Hysteroscopy is performed at the hospital or outpatient surgery center under conscious (IV) sedation or general anesthesia for your comfort. It is a procedure to inspect the inside of the uterus (uterine cavity) using a small optical instrument inserted through the cervix. A liquid solution is used to distend the uterine cavity to facilitate its’ inspection. Abnormalities such a polyps, fibroids (submucosal) and scar tissue (adhesions) identified during the fertility evaluation (at the HSG or SHG) can be removed. Additionally, a hysteroscopy is performed to correct a uterine septum. This wall or partition within the uterus is often associated with miscarriages and can be removed to improve the reproductive outcome of women with a history of miscarriages associated with a uterine septum.
Besides a review of your past medical and family history, we might order some tests to get a diagnosis.
HSG & SHG
Find out what happens during an HSG and SHG.
Causes of Infertility
These are the most often factors causing infertility in couples.