Due to fertility issues such as PCOD (polycystic ovarian disease), cysts, fibroids growing, blocked fallopian tubes, endometriosis, dermoid, development of scar tissues in the pelvis (pelvic adhesions), and uterine anomalies like uterine adhesions (like Asherman’s syndrome, which causes scar tissues inside the uterus) and uterine septum, some females are unable to conceive. These may result in disruptions to the regular treatment of the female reproductive system, which will lower the likelihood of spontaneous conception for women. Continue reading to find out more about female infertility and where to get fertility enhancing surgeries in Mumbai. The condition and general health of the patient can be used to identify the best surgical procedure.
Top Treatment Options for Infertility
Laparoscopic Surgery
It is a sophisticated, minimally invasive treatment to identify and treat a range of issues related to infertility. The patient is first given general anaesthesia (or occasionally spinal anaesthesia) for a duration of 30 to 90 minutes. After inserting a hollow needle, nitrous oxide or carbon dioxide gas is gradually pumped into the belly to inflate it and raise the abdominal wall away from the internal organs to obtain an improved internal image.
Next, a tiny incision is made in the abdomen to insert a thin tube called a laparoscope with a camera and light at one end. It aids in the precise visualization of the specific alterations that take place inside the pelvic or abdominal organs. A laparoscope may be attached to a laser device to help in some procedures. A laparoscopic sample of the affected tissue may occasionally be taken and submitted to a lab for a biopsy.
Following the procedure, the filled gasses are released from the inflated abdomen to restore it to its normal state, and the incision is sutured and closed with a bandage or surgical dressing. The little scars from this surgery will eventually go away.
Why is it Done?
Diagnostics: Diagnostics: To check for any health conditions that would hinder a woman from getting pregnant naturally, a laparoscopy can be performed. This may be associated with infection, cysts, adhesions, or fibroids. It is carried out following the first round of fertility testing, which is unable to identify the precise underlying cause of infertility.
Therapeutics: This includes the excision of fibroids, cysts, or adhesions; for PCOS patients, ovarian drilling; draining of fluid-filled tubes; tubal reconstructions; and tube occlusion (in the event of hydrosalpinx). Therefore, the various fertility-enhancing surgical procedures that can be carried out using this method are as follows:
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Myomectomy, also known as a fibrroidectomy, is the removal of one or more large or numerous leiomyomas, which are non-cancerous growths inside the uterus that form during a woman’s reproductive years.
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Reversing the tubal ligation (Tubal reanastomosis)
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Treatment for severe endometriosis situations
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Removal of ovarian tumors or big benign cysts
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Procedures for those who have had several prior surgeries
Recovery
The patient is moved to the recovery room as soon as the surgery is done and has her vital signs watched over for two to four hours. The patient can return to her regular activities the same day, although she must refrain from vigorous activity for at least a week. It is typical to anticipate bloating and mild bruising around the incision for the first several days.
Hysteroscopy Surgery
A specialized viewing device called a hysteroscope with a light and camera mounted on top is used. This treatment combines diagnostic and therapeutic purposes to visually represent the uterine lining and cavities on a video screen. Anaesthesia or sedatives are used during this quick outpatient surgery. The patient must arrive with an empty bladder to perform a hysteroscopy to examine the structure of the uterine cavity and lining and determine any abnormal changes that may have occurred.
The doctor initially divides the vaginal walls with a speculum, a lubricated instrument to see within the vagina and cervix. The hysteroscope tip is then positioned at the vaginal entrance and gently advanced through the cervix to the uterus. A gas or liquid can be inserted into the uterus via the hysteroscope to provide a clearer, more detailed picture of the uterus. To assess the fallopian tubes’ patency, a dye is also inserted through the cervix. Hysteroscopy and laparoscopy can be done in tandem, depending on the indication.
Why is it Carried Out?
A hysteroscopy can identify and address several female reproductive issues. Thus, doctors perform it to:
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Handle obstructed fallopian tubes.
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Assess the uterine lining’s health and collect data regarding the endometrium, fallopian tube apertures, and endocervical canal.
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Eliminate fibroids, non-cancerous growths, and intrauterine polyps.
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Remove a uterine septum and break down uterine adhesions, which are scar tissues that have developed inside the uterus.
Recovery
Following the hysteroscopy procedure, the patient is admitted to the recovery area and remains under the doctor’s care for one to four hours. After daycare, the patient can usually go home, though the facility may require her to stay overnight on rare occasions. The patient should anticipate some vaginal bleeding during the first one to two days following hysteroscopy. Some people claim to have had moderate abdominal pain, light dizziness, or nausea. This discomfort should all go away in a day or two.
Consult A Top Gynaecologist in Mumbai for Infertility Treatment
Those seeking infertility treatments can get great help by consulting a top gynaecologist in Mumbai, Dr. Chaitali Mahajan Trivedi, at Nanavati Super Speciality Hospital. The knowledgeable fertility doctor will conduct a comprehensive assessment and recommend the most appropriate treatment. Her specialization and experience may provide her with the advantage of identifying infertility earlier and initiating treatment “within a critical time frame.”
The surgeon offers a variety of surgical treatment options, such as hysteroscopy, salpingostomy, laparoscopy, and fimbrioplasty. Consult Dr. Chaitali Mahajan Trivedi at Nanavati Super Speciality Hospital to begin the journey towards parenting!
