Hysteroscopy & Laparoscopy

If the basic tests does not provide conclusive reasons for the woman not being able to conceive naturally, then the doctor shall decide to proceed with some advanced tests which may include hysteroscopy and laparoscopy.

Hysteroscopy

This procedure uses a thin telescope like viewing device, called hysteroscope, which is used during the procedure to let the doctor to see inside the uterus. Hysteroscopy is used to see if the fertility problems are due to any scar tissue or to problems with the shape & size of the uterus due to fibroids and polyps. It may also determine the cause of repeated miscarriages. A diagnostic hysteroscopy is a minor procedure, which is done anesthesia, and it is a 20-minute procedure. This could go a bit longer if the doctor finds some anomalies and if the same can be corrected immediately.

An operative hysteroscopy is done if the there is evidence of fibroids or polyps and that need to be removed. The doctor may also be able to stop abnormal bleeding or remove a blockage in the fallopian tubes. If there are problems in the endometrial lining of the uterus, the doctor can remove them as well.

Laparoscopy

This procedure uses a small telescope like tube called laparoscope to let the doctor see the outside of the uterus, ovaries and fallopian tubes. A laparoscopy procedure takes usually about 30 to 90 minutes but can take longer if the doctor finds something that can be corrected at the same time. This procedure helps in determining if there is any blockage in the fallopian tubes or if there are any endometriosis or scar tissue that could be causing fertility problems. This procedure also allows the doctor to find and treat conditions such as endometriosis and pelvic inflammatory disease (PID).

Both these procedures are day care procedures. While hysteroscopy is done under local anesthesia, laparoscopy is done under general anesthesia. The patients go back to their homes on the same day.

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