If your fertility issues cannot be corrected by fertility medications, your physician may suggest an infertility surgery to improve your ability to conceive. For women, infertility surgery can include:
- Hysteroscopy for treatment of fibroids, adhesions, uterine septum, and bicornuate uterus (heart-shaped uterus)
- Fertility-sparing myomectomy to remove uterine fibroids, including robot-assisted surgery
- Transuterine catheterization of the fallopian tubes (TUCFT), a procedure to clear blocked fallopian tubes
- Tubal reconstruction for collapsed fallopian tubes
- Reversal of a tubal ligation (tied tubes)
As an alternative to open surgery, your physician may suggest laparoscopic endometriosis surgery. Endometriosis is a condition where endometrial cells grow outside the uterus causing pain, irregular bleeding and sometimes infertility. During laparoscopic endometriosis surgery, the surgeon makes small incisions and then inserts a tiny camera and surgical instruments into the body. The surgeon can then remove the excess endometrial or scar tissue without a large incision. Laparoscopic endometriosis surgery causes less scaring and can reduce recovery time. Robotically-assisted endometriosis surgery is another option to remove excess endometrial tissue.
Endometriosis, previous surgeries and some infections can cause adhesions, where scar tissue forms between two surfaces inside the pelvis and binds them together. Laparoscopic adhesion surgery is a minimally invasive procedure to remove this excess tissue that might be preventing conception. Laparoscopic adhesion surgery can reduce symptoms and in some cases, restore fertility.