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Reproductive Surgery for Infertility

Restoring, Improving, and Assisting Reproduction

Occasionally, we can determine that there are anatomical reasons that can impair fertility. The vast majority of our reproductive surgeries are minimally invasive, with a goal of improving our patients’ chances of a successful pregnancy.

Reasons for Fertility Surgery

Some conditions affecting fertility cannot be treated through medication, and surgery is required to correct the anatomical issue. While the most successful treatments for infertility are assisted reproductive technologies, such as IVF, sometimes, a surgical approach can be used to correct anatomical disorders of the uterus, fallopian tubes, and ovaries to help restore reproductive function. 

  • The Benefits of Reproductive Surgery

    Reproductive surgery can remove the structural obstacles in patients that may impact the ability to conceive a child. There are many benefits to reproductive surgery including potentially restoring the patient’s fertility.

    • Smaller Incisions increased accuracy
    • Reduced pain and faster patient recovery time
    • Performed on an outpatient basis, letting the patient recover at home.

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  • What Exactly is Fertility Surgery?

    Fertility surgeries are a type of advanced reproductive medicine that is used to diagnose and help manage anatomical abnormalities involving the reproductive organs.  

    Many reproductive surgery procedures require smaller incisions, and less scarring, compared to traditional open surgery. These procedures are completed with an endoscope and involve either a laparoscope (a small telescope inserted into the abdomen or pelvis via incision) or a hysteroscope (a thin, lighted tube inserted internally, to examine the cervix and uterus ). Both of these endoscopic techniques, with the aid of a camera, allow your surgeon to obtain a broader visualization of the anatomy. 

Common Types of Reproductive Surgical Procedures

At Indiana Fertility Institute, we understand that the decision to undergo surgery is a very personal one and our physicians will guide you every step of the way to ensure you understand the benefits. Dr. Jarrett and Dr. Provost are experienced and trained to perform the following pelvic or reproductive surgeries, based on your diagnosis.

Doctor
  • 1

    Tuboplasty

    This procedure corrects the blockage or scarring of the fallopian tube(s), which can hinder the sperm and egg from reaching one another in order for fertilization to occur. This is often referred to as tubal infertility. A scarred or blocked fallopian tube may occur as a result of a previous pelvic infection, inflammation including endometriosis, and previous pelvic surgery.

  • 2

    Uterine Abnormalities

    Uterine malformation is the result of abnormal development of the uterus, fallopian tubes, cervix or the vagina during fetal development. These abnormalities can result in symptoms including no menstrual cycles (amenorrhea), infertility, recurrent pregnancy loss, and chronic pelvic pain.

    There are several types of uterine abnormalities, with the most common type of uterine malformation being a uterine septum. Although the uterus appears normal from the outside, there is an internal septum that divides the uterine cavity into two smaller cavities. Through a hysteroscopy, the uterus can easily be resected to help restore normal pregnancy outcomes.

  • 3

    Endometriosis Treatments

    It is estimated that endometriosis occurs in roughly 5 to 10 percent of women, and can affect women at any age. Endometriosis is a condition where tissue that normally lines the uterus (the endometrium) develops outside the uterine cavity in abnormal locations such as the ovaries, fallopian tubes, and abdominal cavity

    Symptoms may depend on the location of the excess tissue development and can include pelvic pain (often worsening during the menstrual cycle), painful intercourse, and infertility. Treatment, such as medication, hormone therapy, or surgery may help relieve the pain associated with endometriosis and restore one’s fertility.

  • 4

    Removal of Scar Tissue

    Some women who have had previous pelvic surgery, pelvic infections, or suffer from endometriosis may have a buildup of excess of scar tissue. Surgical procedures can be performed to remove the scar tissue that may restrict the egg from reaching the fallopian tube. With endometriosis, the growth and bleeding cycle of endometrial implants cause irritation, inflammation, and a release of toxins that produce scar tissue around the ovary. In this case, the entire ovary or fallopian tube can become encased in scar tissue and, in more severe cases, can stick to nearby structures such as the bowel.

  • 5

    Myomectomy for Fibroids

    Approximately 30 to 50 percent of women have fibroid tumors, which are typically benign, non-cancerous growths of muscle in the wall of the uterus. While most fibroid tumors go unnoticed, some can grow during the reproductive years. Depending on their size and location, they can cause infertility, recurrent miscarriages, excessive uterine bleeding, pain,  pressure, or severe anemia. Depending on their size and location, fibroid tumors can be removed either hysteroscopically or laparoscopically to restore normal fertility and menstrual function.

  • 6

    Ovarian Cystectomy

    Many women will develop an ovarian cyst at some point in their lives. An ovarian cyst is a typically benign, and non-cancerous solid or fluid-filled pocket in or on the ovaries. They typically will go away on their own but can become a problem if they increase in size and cause pain, sometimes leading to infertility. Problematic ovarian cysts may require surgical removal, most often using the laparoscope.

  • 7

    Management of Abnormal Uterine Bleeding

    Heavy or irregular bleeding between periods happens for different reasons including polyps, fibroids, or cancer. This bleeding can also occur without any apparent cause and is also referred to as Dysfunctional Uterine Bleeding (DUB). Treatments include hormone therapy or hysteroscopic surgery.

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Because Everyone Deserves the Chance to Be a Parent

We are pleased to offer partnerships with fertility financing specialists, Bundl Fertility, LendingClub, and CapexMD.

The path to fertility is already emotionally and physically demanding, let these options ease your financial stress. 

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