Infertility-Related Surgeries for Women's Reproductive Health

Fertility-Focused Gynaecological Care in Delhi

Certain gynaecological conditions can affect a woman’s ability to conceive. Depending on the underlying cause, surgery may help address problems such as uterine fibroids, endometriosis, ovarian cysts, or abnormalities inside the uterus.

Dr. Alankrita Pandey, Obstetrician & Gynaecologist, offers personalised evaluation and guidance to help women understand suitable treatment options based on their reproductive health and pregnancy goals.

What Are Infertility-Related Surgeries?

Infertility-related surgeries are procedures used to diagnose or treat certain reproductive conditions that may interfere with conception.

The recommended approach depends on factors such as age, medical history, ovarian reserve, fallopian tube health, uterine structure, and previous fertility investigations.

Surgery is not necessary for every woman experiencing infertility. In some cases, medication, fertility treatment, or assisted reproductive techniques may be more appropriate.

Conditions That May Require Surgical Treatment

1. Uterine Fibroids

Fibroids can sometimes affect the uterine cavity or reproductive outcomes. A procedure called myomectomy may be considered when fibroids are likely to affect fertility.

2. Endometriosis

Endometriosis may be associated with pelvic pain, adhesions, and difficulty conceiving. In selected cases, laparoscopic surgery may be considered after evaluating the potential benefits and risks.

3. Uterine Polyps

Endometrial polyps can sometimes interfere with reproductive outcomes. Hysteroscopic polypectomy may be recommended in selected patients following assessment.

4. Ovarian Cysts

Some ovarian cysts may require surgery because of their size, appearance, symptoms, or other clinical concerns. The treatment plan aims to consider ovarian function and future fertility whenever possible.

5. Intrauterine Adhesions

Scar tissue inside the uterus may affect menstrual function and fertility. Hysteroscopic adhesiolysis may be considered to remove these adhesions when appropriate.

6. Selected Fallopian Tube Conditions

Certain tubal conditions may require surgical assessment or treatment. The appropriate option depends on the location and severity of the problem and the overall fertility plan.

Types of Infertility-Related Procedures

Depending on the diagnosis, the gynaecologist may discuss procedures such as:

  • Hysteroscopic surgery: For selected uterine polyps, adhesions, and abnormalities inside the uterine cavity.

  • Laparoscopic surgery: For selected cases involving endometriosis, adhesions, or ovarian conditions.

  • Myomectomy: Removal of uterine fibroids when clinically indicated.

  • Ovarian cystectomy: Removal of an ovarian cyst when surgery is necessary.

  • Tubal procedures: Selected procedures to address specific fallopian tube conditions.

Not all procedures improve fertility in every patient. The expected benefit, possible complications, and alternative treatments should be discussed before deciding on surgery.