Infertility is defined as the inability of a couple to conceive within 1 year of unprotected intercourse. Male and female infertility can have many causes, such as ovulation disorders, endometriosis, fallopian tube infections, uterine and cervical complications, low sperm production, and other male infertility. As per experts at an IVF clinic in Rajouri Garden, the main causes of infertility can be malnutrition, recurrent infections that lead to blocked fallopian tubes, and pelvic tuberculosis. 

Currently, doctors use laparoscopy to treat and diagnose infertility. This treatment includes laparoscopy to examine the reproductive organs. This method helps identify abnormalities and problems that cause infertility. Doctors recommend laparoscopy for unexplained pelvic pain.

Laparoscopy is a minimally invasive procedure that provides an enlarged, panoramic view of the pelvic organs. This allows doctors to diagnose infertility by performing surgery. Laparoscopy has been shown to be effective in improving fertility through surgery on the ovaries, pelvis, uterus and fallopian tubes. In general, doctors recommend laparoscopy only when the cause of infertility is unknown.

Causes of infertility

There are several reasons for infertility. Some of them are:

  • Ovulation disorder - A woman suffering from ovulation disorder produces fewer eggs than average women reducing the chances of fertilisation and conception.

  • Scars from surgery - The cervical or pelvic surgery can scar and damage other reproductive organs such as fallopian tubes or ovaries, causing infertility.

  • Fibroids - The fibroids are benign, preventing the fertilised egg from getting attached to the uterine wall or womb and blocking the fallopian tubes.

  • Endometriosis - It is a medical condition where the endometrial tissue grows outside the uterus wall and other reproductive organs, resulting in pelvic pain.

  • Pelvic Inflammatory Disease (PID) - It is a bacterial infection that occurs in the upper female genital tract and causes damage and scarring to the fallopian tubes.

Methods for diagnosing infertility

To detect the exact cause for infertility, doctors suggest several tests that are as follows:

  • Ovulation testing

  • Ovarian reserve testing

  • HSG (hysterosalpingography)

  • Laparoscopy for fertility

  • Imaging

Laparoscopy – A Diagnostic and Surgical Procedure

Laparoscopy is a surgical procedure in which a surgeon makes small incisions to look inside the abdomen and pelvis is called a laparoscopy. It is also called minimally invasive surgery. A small flexible tube laparoscope is inserted through small incisions in the abdomen and pelvis. A small light and camera are attached to the laparoscope to transmit images of the stomach and pelvis to the TV screen.

As with any surgery, your doctor will ask you to come with an empty stomach 8 hours before the operation. Open laparoscopic procedures for infertility. The images displayed on the monitor help doctors detect abnormalities such as pelvic adhesions, endometriosis, cysts, fibroids or scars.

The benefits of laparoscopy in the treatment of infertility

  • If you have scars or obstructions, laparoscopy is the best diagnostic method to inspect your fallopian tubes. It helps the doctor view and opens the blockage of the tubes to enable conception.

  • Laparoscopy can also diagnose scarring in the uterus, endometriosis, or other abnormalities present in the reproductive organs.

  • With the help of laparoscopy, the doctors can identify the pelvic pathology that generally other methods cannot remember, resulting in recurrent failures of IVF.

  • The doctors use laparoscopy to remove the pelvic adhesions and endometrial tissues to increase the chances of conceiving.

  • In some cases where infertility reasons are unidentified, laparoscopy can be used for infertility evaluation.

  • As compared to other surgeries, laparoscopy is less invasive. Once the surgery is done, you can return to your routine within two days. There is also less pain and less bleeding.

Risks Associated with Laparoscopy

Each procedure has its advantages and disadvantages. Laparoscopy has certain risks. It can sometimes cause abdominal inflammation or infection in the area where an incision is made. Therefore, it is necessary to take proper care of the incision after the surgery. Insertion of the laparoscope can cause damage to the nerves around the incision area. 

Author's Bio: 

Dr Ruchi Malhotra is one of the best Gynecologist in Delhi. She has graduated from Lady Hardinge Medical College, New Delhi and has been practicing for 18 Years.