ADVANCED REPRODUCTIVE KEYHOLE SURGERY
Reproductive Surgery refers to different types of surgery done to optimize the reproductive organs.
Reproductive surgery is performed as a diagnostic procedure to find out the cause of infertility when no apparent reasons are obvious.
It is also performed to either treat infertility with the aim of restoring the reproductive organs to normal or near normal state; or to optimise access to the ovaries for egg harvest. Surgery also aims to improve the chance of implantation of the developing baby by improving the womb through removal of polyps or fibroids.
Laparoscopic keyhole surgery – where tiny keyhole punctures are made on the tummy to visualise and perform the surgery – is now the mainstay of reproductive surgery.
Its greatest advantage is the ability to magnify the views of the operating field, allowing the surgeon to operate precisely and therefore minimising scar tissues. In addition, the patient recovers quickly due to less pain and commonly goes home after several hours. The recovery time after surgery is about 2 to 3 days.
Another form of keyhole surgery is the hysteroscopic surgery where a camera is inserted through the vagina to visualise the inside of the womb and perform corrective surgery.
In general, the chance of conception is doubled after the surgery. However, if there are other associated problems such as male factor infertility, the woman may need additional fertility treatment such as artificial insemination (IUI) or test tube baby treatment (IVF/ICSI) in order to conceive.
For surgery that does not involve cutting the womb, the couple can start trying soonest possible, usually when the woman feels ready, which can be as soon as the following week. However, if the surgery involves cutting into the womb, such as a deep fibroid removal, the woman is advised to rest for 4-6 months before trying again.
Most doctors would like to see the woman for a review after surgery before they try to conceive. For women who had corrective tubal surgery, they should see the doctor as soon as they get pregnant as they have a higher risk of ectopic pregnancy.
Certainly, if the woman is not able to conceive 4-6 months after surgery, they may want to consider moving on to other forms of fertility treatment.The wrong thing to do is to leave things for many years as the surgical condition may recur.
At Sunfert, we employ a holistic approach to ensure that you have the highest chance of conceiving within the shortest duration of time. About a third of the couples who see us are able to conceive after this corrective surgery without having IVF treatment.