Minimal Access Surgery
Infertility
Know about Infertility
Infertility is a common problem, occurring in approximately 10-15% of couples worldwide. Infertility is defined as the inability to conceive a pregnancy after two years of unprotected intercourse. It can be either primary – when the female has never conceived or secondary – when there has been a previous documented pregnancy – either a live birth a even a failed pregnancy e.g. miscarriage or ectopic pregnancy.
Causes of Infertility
| Male factor | 40% |
| Female factor – Tubal problem | 20% |
| Female factor – Ovulatory problem | 20% |
| Unexplained | 15% |
| Others | 5% |
Investigation
- Semen analysis of husband.
- Basic blood investigation of female.
- Harmone analysis.
- Ultrasound – pelvis.
- Hysterosalpingography – to see tube patency.
Treatment
- Laparoscopy
Diagnostic laparoscopy is gold standard to detect tubal and peritoneal causes. Any abnormality including endometriosis and pelvic adhesions which are not detected by ultrasound and hysterosalpingography are readily seen and also rectified. Dye can also be injected inside the uterus and patency of fallopian tubes confirmed. Treatment can be modified according to the problem present:
If ovulatory disorder – medicines are given.
If polycystic ovaries are present – ovarian drilling is done.
If fibroids are present – myomectomy done.
If tubes are blocked – the site of blockage is determined and reanastomosis done.
If tubo ovarian adhesions present – Adhesiolysis done.
Tubal recanalisation can be done if there is history of tubectomy.
If Hydrosalpinx is present – Neosalpingostomy is done. - Hysteroscopy
In this procedure a telescope is introduced inside the uterus & uterine cavity visualized.
If polyps are present – Polypectomy done.
If septate uterus – septum is cut.
If ashermans syndrome present – Adhesiolysis done.
Endometrical biopsy can be taken for sent for histopathological examination.
RG hospital is one of the best laparoscopic surgical centers, in India, for the treatment of infertility.
24 hrs. emergency services are also available at RG Stone And Super Speciality Hospital.
Call today for your consulation appointment at +91-98769-10000
or contact us using the form on our site.
