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Benefits of Endoscopic Surgery in Fertility Treatment

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What Is the Importance of Endoscopy in Fertility Treatment?

An endoscopy is a minimally invasive procedure which is diagnostic and operative in nature. In infertility treatment, a transvaginal ultrasound or an HSG Test may miss abnormalities such as adhesion, endometriosis, exact ovarian pathology, and tubal conditions which can be detected and treated with endoscopy. Therefore, hysteroscopy and laparoscopy are important treatments for infertility.

When Would I Need an Endoscopy?

A doctor will advise an endoscopy usually after performing a transvaginal ultrasound or an HSG test. Some common reasons for an endoscopy may include the following:

  • Pelvic infections
  • History of pelvic surgery
  • History of ectopic pregnancy
  • Abnormal HSG Test or SIS Test results
  • Repeated failure in Intrauterine Insemination (IUI)
  • Endometriosis
  • Pelvic/adnexal adhesions
  • Suspected uterine anomalies
  • Intrauterine adhesions
  • Submucous fibroid
  • Intrauterine polyp
  • Repeated implantation / IVF failures

Types Of Endoscopies
An endoscopy can be of two types which essentially include laparoscopy and hysteroscopy. A hysteroscopy can benefit every woman about to undergo IVF while laparoscopy is a selective procedure. Here’s what both these procedures involve
How Does a Laparoscopy Help In Fertility Treatment?

A laparoscopy helps visualise the abnormalities in the fallopian tubes, ovaries, outer surface of uterus and pelvis which may be causing problems in getting pregnant. Post diagnosis, one can perform procedures in the same sitting to treat the problems through septoplasty, adhesiolysis, myomectomy , polypectomy, etc.
What To Expect During A Laparoscopy?
  1. An operative procedure, a laparoscopy involves small cuts on a woman’s tummy
  2. A fine telescope of about 5 to 10 mm diameter is introduced inside the tummy to check the tubes and any undetected tissues
  3. This helps visualise reproductive organs on the monitor
  4. Additional cuts of 5 mm length may be made to insert other instruments to visualise the pelvic organs
How Does a Hysteroscopy Help in Fertility Treatment?
In a hysteroscopy, the doctor can visualise the uterine cavity and identify potential problems. With the help of hysteroscopic guided biopsy and therapeutic procedures like polypectomy, myomectomy, septal resection, and adhesiolysis can be done in the same sitting.

Benefits Of Endoscopy in Fertility Treatment Endoscopy helps improve the success rate in IVF treatment. Modern technology and state-of-the-art infrastructure have made these procedures very efficient. Here are some of the benefits of endoscopy in fertility treatments:

  • Increased success rate of IVF treatment
  • Lesser recovery time
  • Reduced pain and discomfort
  • Minimal or no scars after the procedure
  • Less blood loss
  • Natural drying of the body tissues

Role Of Endoscopy in IVF Treatment

  • To improve IVF success rate: After a transvaginal ultrasound, if your doctor detects tubal disease, ovarian abnormalities, uterine factors, and other pelvic abnormalities that can adversely affect an IVF cycle, then an endoscopy may be recommended to improve the success rate of IVF.
  • To facilitate egg collection: If a transvaginal ultrasound has detected infected fallopian tubes that are filled with fluid, then the tubes would need to be disconnected from the uterus. The ovaries would need to be free and located normally to allow egg retrieval
  • For breaking adhesions on ovaries: Ovaries can be adherent due to adhesions resulting from conditions such as endometriosis, pelvic infections, and previous surgeries. In these situations, laparoscopy can help in the breakdown of these adhesions and free the ovaries.
  • Cyst Removal: If there are ovarian cysts, they need to be removed before starting IVF treatment.
  • Fibroid Removal: If there are large fibroids in the uterus, measuring more than 4 cm, they would need to be removed especially if they are located within the cavity or near the lining of the womb.

Cost Of an Endoscopy

The cost of an endoscopy depends on the diagnosis and recommended treatment and surgical procedure the doctor suggests. It can range anywhere from Rs 50,000 to 100,000/- and depends on multiple factors. If you want more information about endoscopy you can contact Motherhood Fertility & IVF Centre by calling 08067238900 or book an appointment with us.

To Conclude

A minimally invasive procedure, endoscopy has multiple benefits for those with adhesions, cysts, fibroids and other problems in their ovaries or uterus. It plays a major role in fertility treatments and helps a lot with female infertility.


There are minimal side effects of an endoscopic surgery and the pain experienced post-surgery is also minimal. Usually, the patient is mobile within 48 hours and can be discharged soon. Endoscopy has a quicker recovery period compared to other surgical procedures.

Improved success rate of IVF is the biggest advantage of endoscopy in fertility treatments. At the same time, lesser or no scars, less bleeding, reduced recovery time, and reduced discomfort are some of the other advantages of endoscopy.

Hysteroscopy and laparoscopy are the two primary types of endoscopy procedures in fertility treatments. Hysteroscopy is used to diagnose endometrial polyps, submucosal fibroids, adhesions, septum or partitions, endometriosis, etc. Laparoscopy is used to diagnose uterine fibroids, pelvic adhesions, endometriosis, ovarian cysts, etc.

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First step towards infertility is correct diagnosis and NOT treatment.