Infertility in both men and women is a common issue. The causes can vary from physical to mental, emotional or hormonal.
There are numerous treatments available for infertility that differs from each other in terms of the technique and technology used. These can be medicinal, assisted reproduction or surgical treatments.
For a particular patient, the choice of the treatment depends on the severity of the infertility condition.
While for some simple medicinal approach solves the problem, the others may need surgical means to overcome the complications. Surgical treatments are available for both men and women.
The surgical solutions are now much simpler, more non-invasive and more viable than ever due to the significant advancements in the medical technology over the period of time.
Surgical Treatments for Infertility in Women
- An outpatient surgical method which uses a small, fibre-optic telescope known as a laparoscope.
- This instrument is injected through a tiny incision made near the navel.
- The telescope helps in observing and evaluating the appendix, gallbladder, liver, pancreas, small and large bowel, spleen, stomach, pelvic or reproduction organs.
- This method enables the doctors to perform both minor and complicated surgeries with just a tiny cut in the abdomen.
- Laparoscopy can be used to determine and treat causes of infertility such as endometriosis, fibroids, ectopic pregnancy, remove adhesions (scar tissue), ovarian cyst, etc.
- An outpatient procedure in which the fibre-optic telescope is interpolated into the uterus via the cervix.
- The telescope can then investigate and remove adhesions in the uterus.
- Hysteroscopy can be done in the hospital or surgical centers.
Hysteroscopy can be used for various things such as:-
- to diagnose and treat infertility
- to locate and remove the uterine adhesions that can lead to changes in menstrual flow
- to determine if one has a uterine septum, a malformation of the uterus
- to remove noncancerous growths in the uterus such as polyps or fibroids
Tubal Surgery Treatment
- Used to treat a blockage in the fallopian tube which hinders the passage of fertilized egg to the uterus.
- There are different types of this surgery which are used depending upon the need and condition of the patient.
- to repair the part of the fallopian tube damaged by disease
- to reverse a tubal ligation
- to remove a part of the fallopian tube when it develops hydrosalpinx
- to create a new opening in the portion of fallopian tube nearest to the ovary when the end of the tube gets blocked by hydrosalpinx
- to deal with scar tissue or partial blockage of the part of the fallopian tube nearest to the ovary
Selective Tubal Cannulation:
- to tackle tubal blockage close to the uterus
- surgical removal of benign tumors called fibroids from the wall of the uterus
- the reproductive organs and uterus stay in place, which improves the chances of conceiving
- can be performed through the pelvic area or the cervix and vagina
- is performed depending on the size, type, location, and number of the fibroids
Types of Myomectomy Treatments are:
- Open Myomectomy
- Laparoscopic or Robotic Myomectomy
- Hysteroscopic myomectomy
- Laparoscopically Assisted Abdominal Myomectomy with Bilateral Uterine Artery Occlusion (LAAM-BUAO)
Surgical Infertility Treatments in Men
- a minor outpatient surgery
- used to repair varicoceles in males
types of varicocelectomy surgery
- Open varicocelectomy
- Retroperitoneal high ligation
- Inguinal ligation
- Sub-inguinal ligation
- Laparoscopic varicocelectomy
- Microsurgical varicocelectomy
- also known as Vasovasostomy
- used to reverse the blockage of sperm in the vas deferens and hence, reverse the vasectomy
- also known as Epididymovasostomy
- a microsurgical process used to treat the blockage in the epididymis
epididymal obstruction occurs if the man has had a vasectomy or a history of injury or infection or a cystic fibrosis gene
The above mentioned surgical treatments can help treat infertility and increase the chances of conceiving a child. The daily advancements and growth in the medical sector have evolved the way the infertility problems are perceived. If these continue to take place the treatments will become much cheaper and feasible.