Surgery to Optimise Fertility
As well as undertaking fertility treatments, there may be a requirement to optimize a patient’s fertility with surgery. Common reasons why this may be undertaken is if one of the fallopian tubes is partially blocked. An occlusion to the fallopian tube at the distal end, close to the ovary perhaps could be repaired surgically and increase the chances of that individual falling pregnant.
Extremely scarred and damaged tubes can sometimes fill up with fluid causing a hydrosalpinx, which essentially can cause a reduction in the chances of implantation. Other problems that we’ve spoken about during this course already are fibroids. Fibroids come in all shapes and sizes and can be located throughout the womb, but in general, fibroids historically, if they’re very large and multiple in number, will need to be removed to restore blood flow to the uterus to have a good chance of natural conception occurring.
Some fibroids will encroach inside the womb cavity itself, and historically, we would remove fibroids, which are actually bulging into the womb cavity itself as they reduce the chance of natural implantation taking place, and simple surgery can remove those fibroids in one short operation with very low risk.
Multiple operations on patients with many fibroids can however leave lead to a weakening of the uterus and scarring inside the womb. So it has to be take undertaken carefully and with careful thought based on fertility history and also medical history, and should always be discussed with your specialist.
An endocrine specialist who specializes in reproductive medicine is the best person to guide you. A general gynaecologist may not have the experience to know whether a fertility patient should undergo delicate surgery within inside the womb cavity, and therefore, balancing those risks are really important when making those decisions.
So throughout this course we’ve looked at all of the important aspects that are relevant to natural conception and how and when to get investigated by your doctor if you’re not falling pregnant. But if you found the information here useful and you want to find out more, there are many more courses available which will help you understand not only the treatments, the important lifestyle factors and the various issues around fertility that are so important for optimizing your chances of falling pregnant.