Reproductive Surgery for Fertility

At Thomson Fertility Centre, we adopt a holistic approach to fertility management. Understanding the factors and causes of infertility are key to helping couples to conceive. Our aim is to explore all other options available to couples before embarking on the path of assisted fertility treatments like SOIUI, ICSI or IVF.

At times couples may find that they can conceive naturally after reproductive surgery to restore normal uterus, tubes or ovary function.

Our surgeons treat a variety of reproductive problems that may lead to infertility such as endometriosis, uterine fibroids, pelvic adhesions, tubal occlusions, ovarian cysts, and congenital or acquired abnormalities.

It is important for an assessment with our Fertility Specialist to establish if you are one of those couples who will benefit from reproductive surgery to fulfill your baby hopes.

Some Causes of Infertility

Endometriosis

Endometriosis is a painful and chronic disease that is often mistaken for normal menstrual pain. It occurs when endometrium tissue, which lines the uterus, is found outside of the uterus. This tissue develops into growth or lesions which respond to the menstrual cycle in the same way the tissue of the uterine lining does: each month the tissue builds up, breaks down and sheds. Menstrual blood flows from the uterus and out of the body via the vagina, but the blood and tissue shed from endometrial growth has no ways to leave the body.  This could result in internal bleeding, breakdown of blood and tissue from the lesions and inflammation, causing pain, infertility, scar tissue formation, adhesions and bowel problems. 

Treatment Options

·         Laparoscopy

·         Mini-Laparotomy

·         Laparotomy

Fibroids

Fibroids are abnormal growths that develop in or on a woman’s uterus. It is not known what causes fibroids.  They may be asymptomatic or may cause excessive uterine bleeding, recurrent miscarriages, pain, pressure or severe anaemia.

Treatment Option

·         Hysteroscopy

 

 

 

Pelvic Adhesions

Pelvic adhesions are scar tissue that can block or distort fallopian tubes. They could be a result of an inflammatory response to surgery, endometriosis or infection. During the process of repairing injured tissue, organ and tissue stick to each other, causing pelvic adhesion.

Such adhesions can cause problems with fertility, pelvic tenderness, painful intercourse and chronic pelvic pain.


Blocked Fallopian Tubes

Fallopian tubes are the path that the sperm and egg must take to achieve fertilization and implant in the uterus successfully. Blockages of the fallopian tubes can lead to difficulties in conceiving as the sperm and egg cannot meet. Prior pelvic infection, surgery or endometriosis can cause blocked fallopian tubes. Depending on the type of blockage, tubal surgery can be done to increase fertility.

Treatment Options

·         Laparoscopy

·         Salpingectomy

·         Salpingostomy

·         Fimbrioplasty

·         Tubal Cannulation

 

Ovarian Cysts

An ovarian cyst is an accumulation of fluid within an ovary that is surrounded by a thin wall. Ovarian cysts are very common and usually harmless, requiring no intervention. Cysts that are large or persistent, lasting several months may require surgery.

Treatment Options

·         Birth control pills

·         Laparoscopy

·         Laparotomy

Congenital structural abnormalities

Congenital structural abnormalities that occurs during fetal development may be the cause of infertility, severe pelvic pain or recurrent pregnancy loss.

Treatment Options

·         Laparoscopy

·         Hysteroscopy

 

Acquired uterine abnormalities

Uterine abnormalities includes polyps, scarring and fibroids. Depending on patient’s conditions, these can be treated using hysteroscopy and/or laparoscopy. Uterine abnormalities can contribute to decreased fertilization, miscarriage or pregnancy complication and it is common among women of reproductive age.