Does Laparoscopy still have a role in modern fertility practice?

Failing to reproduce after 24 months of frequent sexual encounters in the lack of any reproductive illness is defined as infertility. It is reported to affect one out of every seven couples. Infertility is not merely a medical issue but for many individuals who are unable to solve their physical, psychological, and financial challenges.

Polycystic Ovarian Syndrome, Uterine Cause, Tubal Factor, and endometriosis were the reasons for infertility revealed via laparoscopy and hysteroscopy. In 38.2 percent of instances, no reason was found. Women were given several treatment options based on operation findings. In 92 cases, expectant management was adopted. In 372 cases, anti-estrogens or gonadotropins were employed to induce ovulation. Sixty patients had intrauterine insemination, while sixty-four cases had IVF or ICSI. A no. of 180 cases (which is about 30%) became pregnant after a year of laparoscopy. Women with infertility issues had the best results, followed by those who had Polycystic Ovary Syndrome. In 25 percent and 22.8 percent of cases, women with uterine and tubal infertility factors got pregnant, respectively. Women who have endometriosis had the worst outcomes.

Leading to a better success percentage of assisted reproductive techniques more than three decades after the launch of In-Vitro Fertilization (IVF), the need for doing laparoscopy as part of the infertility check-up remains valid states the experts from the Best Gynecology Hospital in Nashik.

It is widely acknowledged that laparoscopy is of no help to women with low ovarian function or serious male factor infertility because IVF will continue to be the primary treatment. Even after the development of IVF technology, diagnosing and treating fertility problems remains difficult. It is commonly understood that a Hysterosalpingogram (HSG) doesn't really exclude pelvic tissues, which can only be identified through laparoscopy. It is controversial if laparoscopy should really be a required step in the Post-HSG sub-fertility workup.

Women having Polycystic Ovary Syndrome (PCOS) are sensitive to Clomiphene Citrate and are a patient category for which laparoscopy and Laparoscopic Ovarian Drilling (LOD) may be a good therapy choice if their ovarian capacity is good. This method has the benefit of optimizing the hormonal environment, generating mono-follicular growth, reducing the risk of Ovarian

Hyperstimulation Syndrome, and lowering the rate of multiple pregnancies; the problems associated with gonadotropin stimulation are avoided. Women with minor endometriosis might not even be diagnosed unless they have a diagnostic laparoscopy. Excision or fulguration of endometriotic lesions via laparoscopy is linked to a higher rate of pregnancy after the procedure.

What can you experience after the surgery?

After surgery, little pain and suffering are to be expected, but up to a limited extent. As the injected gas evaporates, you may experience pain in the shoulders or abdomen. It may take many days to eliminate all gas and discomfort. Walking and sipping peppermint tea can both help states the Best Laparoscopic Surgeon in Nashik.

Discharge instructions should provide additional details regarding the expectations throughout rehabilitation. After surgery, problems can develop, though they are uncommon. If you are facing any problem, you should see a doctor or go to an emergency hospital straight away. Infection from the scars, including redness, stiffness, or being unable to get to the restroom, fever, heavy vaginal bleeding and severe pain fainting are some of the problems to face.

What are its benefits from it?

A laparoscopy in comparison to other surgeries helps a doctor to discover infertility in some easier ways which include: -

• Less painful treatments

• The prospect of resolving the problem during surgery, making recuperation easier

• Infection risk is reduced

• Scars are smaller

Additionally, if a person is treated during the surgery, their chances of becoming pregnant may improve straight afterward.

What are the risks to consider?

Laparoscopy carries the risks of internal bleeding, infection, internal organ damage, and poor healing of wound sites.

Laparoscopy was once a routine diagnostic technique for women experiencing fertility problems. Because of the rising use of assisted reproductive technologies like in vitro fertilization (IVF), some doctors are now recommending IVF before laparoscopy. Your doctor may suggest laparoscopy if they feel it will be beneficial for you. A person should talk to their doctor about the operation and whether the possible advantages exceed the hazards states the experts from the Best Infertility Center in Nashik.

Conclusion: -

Finally, laparoscopy remains a useful tool for diagnosing and treating infertility. It can help a large no. of women facing fertility problems, even those having a tubal factor, PCOS. Laparoscopic operations such as Adhesion Lysis, Endometriosis Ablation, and Salpingectomy or disconnection for hydrosalpinx can all help with conception spontaneously or with IUI/IVF.

During a laparoscopy, a doctor may often detect and fix any problems. The doctors will also report the results and suggest some possible next measures after the operation. If a person wishes to pursue IVF or another reproductive treatment, the doctor may advise waiting a few weeks or more for the body to recuperate from the laparoscopy.