How does Laparoscopy help in infertility?- Dr. Nupur Sood

Basically laparoscopy is a procedure which is a minimally invasive technique for approaching thee pelvic organs in case of a gynec laparoscopy. Now how does it help in infertility? Infertility itself is a scientific issue if it is seen as, there could be certain issues in the women’s health right from the uterus, the tubes or the ovaries. Soo if you are simply checking all three off them and correcting whatever is the problem in them we have a higher chance of conceiving, in the uterus first of all if there is a fibroid sitting, impinging or if it is sitting in a place where the baby has to come and fix itself, that is the submucus type of fibroid then it has to be corrected. Second, the uterus itself may be abnormally shaped. So it may be a bicornuate uterus, that is a double uterus. So it will not allow for a normal healthy pregnancy, and second there is a septum, that is a division within the uterine wall, that is hindering a pregnancy or even leading to a miscarriages. So thus should be corrected. The second is the tubes. The blocked tubes have to be opened and it is mechanical constriction and the tubes once opened, the chances of pregnancy is increased, but otherwise, the tube itself maybe damaged and unhealthy, called as a hydrosalpinx. In that case it has to be clipped, then only in IVF procedure is proceeded with. So this is again a procedure that can be done with laparoscopy. The third is the ovaries. The egg has to release form the ovaries and if these ovaries are not functioning healthy if they have cysts, it could be a simple large cyst, it could be an endometriotic cyst. Some of them can be treated with medications, but if they are large and they are persisting then they need to be treated with laparoscopy. The last thing is people wo are suffering from endometriosis is that the uterus , the tubes and the ovaries, all get stuck up together. So their nor a functioning is affected by releasing the adhesions between them and releasing them free, they are getting back to their normal anatomy and functioning and again enhancing the chance of fertility in the woman.