Role Of Laparoscopy In Treating Infertility
Role Of Laparoscopy In Treating Infertility
March 7, 2024 by adminThe lack of potential to conceive is characterised as infertility. Tubal infectious diseases, ovulation abnormalities, endometriosis, cervix and uterine issues, and related factors are the causes of infertility in both males and females. Poor nutrition, pelvic TB, and recurring infections producing tube obstruction are the primary root causes leading to conditions causing infertility, as per the World Health Organisation. Many of the best laparoscopy hospital in Chennai also suggest the exact reasons for infertility.
Doctors are now using laparoscopies to diagnose and treat infertility. A laparoscope is used to check the reproductive system during the process—this aids in identifying systemic problems and determining the optimal treatment option. If you have unexplainable pelvic pain, the doctor may prescribe a diagnosis through laparoscopy. This is because it may help analyse the abnormalities in detail.
Laparoscopy is a non-invasive treatment that allows the doctor to see your pelvic organs in an enlarged and panoramic view. During the diagnostic process, the doctor may decide on the need for surgery. Laparoscopy has been critical in the diagnosis and treatment of female pelvic disorders. Implementing such surgical procedures in the uterus, ovaries, pelvis, peritoneal, and fallopian tubes enhances fertility.
What are the causes of infertility?
A variety of factors can cause infertility. However, the following are the most common among women:
Ovulation problems:
In certain women, ovulation abnormalities prevent the egg from being released, whereas in others, ovulation happens only on specific cycles, lowering the odds of pregnancy. These illnesses include the following:
- Early ovarian failure at the age of 40
- Polycystic ovary syndrome (PCOS)
- Thyroid problems, such as hyperthyroidism or hypothyroidism
Scarring by surgery
The fallopian tubes and uterus might be damaged and scarred due to pelvic or cervix surgery.
Fibroids
These non-cancerous benign tumours restrict the fallopian tubes or hinder the fertilised egg from going to the womb.
Endometriosis
It is a medical disorder in which the womb membrane spreads to other body regions, including the ovaries, causing damage.
Pelvic Inflammatory Disease
Pelvic inflammatory disease is caused by bacteria that affect the female upper vaginal tract, leading to scarring and damage to the fallopian tubes. This seems to be the leading risk factor for infertility in men resulting in consequences like poor quality semen, low testosterone, infections, operations, tumours, testicle issues, and ejaculatory diseases that prevent the discharge of sperm.
Infertility Diagnosis Methods
Depending on the symptoms, gynecologist specialist in Chennai use different methods to diagnose infertility.
Testing for Ovulation
To measure the level of luteinising hormone, you can execute a testing procedure at home using an ovarian predictor kit. A blood test to detect progestin hormone generated during fertilisation could be performed in the hospital.
Testing of the Ovarian Reserve
This examination determines the grade and amount of eggs accessible for ovulation. The procedure involves a blood test and imaging technology.
Hysterosalpingography
Examining contrasting x-ray fluid in the uterus is used to look for irregularities. The flow rate out of the uterus through fallopian tubes is measured in this examination. If it’s an issue, the doctor will conduct more tests.
Laparoscopy
Laparoscopy is a minimally invasive procedure in which the doctor examines the internal reproductive system with a laparoscope. To inspect the uterus, ovary, and fallopian tubes, a doctor will inject a laparoscope with tiny incisions just below the navel. This aids in diagnosing scar, endometriosis, tube obstruction, and ovarian anomalies.
Imaging
A doctor uses ultrasonography to examine problems in the uterus and fallopian tube.
The Advantages of a Laparoscopy
- If you already have scars or blocks in your oviduct, laparoscopies can help. Alternative diagnosis and treatment techniques are challenging to detect and treat. To improve conception, a laparoscope allows the doctor to see and treat clogged or damaged tubes.
- While other techniques of diagnostics can detect fibroids & endometriosis, laparoscopy is the best way to confirm the presence of the irregularities. Laparoscopy seems to be the only way for physicians to identify minor endometriosis and uterine scarring.
- Pelvic diseases can go unnoticed, leading to in vitro fertilisation failures regularly. Laparoscopy aids in detecting and treating specific disorders, thereby boosting the likelihood of conception.
- Laparoscopy improves healthy conception by removing pelvic scar tissue and endometrial tissues. A laparoscopy could assist you in figuring out what’s causing your infertility unless you don’t know what’s causing it.
- When compared to other procedures, laparoscopy is less invasive. It takes a day to heal and a week to get back to the usual routine. Due to minor cuts, it causes comparatively less discomfort and less blood loss. Reach out to the top maternity hospital in Chennai to learn the advantages of laparoscopy.
How is a Laparoscopy Procedure Performed?
- The doctor will examine your body to ensure overall health before a laparoscope surgery.
- Patients should fast for about eight hours before the surgery. During the procedure, the doctor will use general anaesthesia.
- The physician will make a small cut just below the navel using a syringe. The doctor will use needles to inject co2 into the abdomen to lift it away from the inner organs.
- They introduce a laparoscope through the hole when sufficient gas is assured. A webcam will be linked to the output screen on the monitor, where the internal organs will now be visible and can be amplified.
- The doctor will view the ovary, oviducts, and uterus on the screen. Scar tissue, mild endometriosis, pelvis adhesions, cyst, & fibroids inside the sexual organs will be easily detectable now.
- The doctor will insert a dye into the cervix to see if the ovarian tubes are blocked. The same can also be used to diagnose an implanted pregnancy.
- Unless surgery is required, the doctor will make more incisions to permit other clinical equipment to be inserted. The doctor will be guided by the screen directing surgical instruments toward the targeted organ. This treatment could clear clogged tubes and remove fibroids, scars, cysts, and endometrial tissue.
- The laparoscope, as well as other tools, will then be removed. A syringe will be used to release the CO2. The cuts will be closed with stitching or clips and covered by plaster.
- Doctors will prescribe antibiotics and other appropriate medicines to reduce suffering and infections. You can consult the best gynecologist in Chrompet to educate yourself about the procedures before surgery.
Common side Effects
The following are some common adverse effects:
- Irritation of the skin around the incision
- Urinary infection
- Scar tissue
- Infection on the location of the cut
- Blood clots in the abdominal tissues
- Bloating caused by CO2
- Muscle aches and fatigue
- Slight nausea, soreness, and pain in the abdomen
- Shoulder aches