Fertility Enhancing Endoscopic Surgery

Hello Everyone,

I am Dr. Sanket Pisat. I am a consultant Gynecological Laparoscopic surgeon practicing in Adheri in Mumbai.

And today we are going to talk about fertility enhancing Endoscopic Surgeries, no as you all may be appear infertility is a very common problem that is faced by a lot of couples these days which is basically inability to get pregnant. Now while there can be several problems as to why a couple cannot conceive children. One of the main causes is that in the light of more career option family and child bearing take a back seat until a very advance age. Sadly the body clock cannot be turned back and it does not really wait for us. There can be many causes as to a woman doesn’t get pregnant but in at least 50 % of the cases, actual cause can be found and located within the reproductive system of the woman itself. So after confirming that the male partner does not have any particular problem for which he should be treated, it is worthwhile to look into the defects of the female reproductive system and if thee defects can be corrected than pregnancy can be achieved rather simply. Now there can be a lot of defects ranging from a very small opening of the cervix which is the entry point of the uterus to poorly growing lining of the endometrial cavity which is the inside of the uterus to fibroids in the uterus or cyst in the ovary or even blocked tubes. All of these problems can be corrected by a procedure which is called diagnostic laparoscopy and hysteroscopy. Laparoscopy is basically the examining of the insides of the abdomen and reproductive organs using the camera system. Using this camera system we are able to examine every aspect of the female reproductive system and any correctable problems for example if there is a fibroid seen or if the tubes are blocked, those can be corrected at the same instant. It’s a very simple procedure, requires a single day of admission and the entire procedure is done through one or two small sized cuts on the abdomen so the patient is virtually painless after and can go immediately. Likewise there is another advance procedure called hysteroscopy, in which the inside of the uterine cavity where the baby actually grows can be examined using a camera system and a lot of defects namely, you may have defects that are congenital origin or they are since birth uterine septa or there may be am excessive band formation between the uterine cavity cynic or small growth within the uterine cavity called fibroid of polyps. Many of the times these small growth or small pathologies cannot be seen by diagnostic modalities like ultrasound, CT scan or MRI. Laparoscopy and hysteroscopy give us option of being able to diagnose these findings and treat these findings at the small instance which is almost one day procedure and the patient walks away with hardly any pain or hardly any sequelly. To summarize, fertility enhancing endoscopy surgery holds tremendous for the infertile couple in home. Small pathology which have not being diagnosed which have actually being the cause of their infertility and on surgical correction of these fertility in a single sitting it is possible for the couple to achieve pregnancy without really going for multiple or expensive treatment options like In Vito Fertilization and test tube babies.

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