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Surgical Tests: Hysteroscopy and Laparoscopy

If blood tests and other diagnostic tests do not determine the cause of your infertility, your health care professional may suggest one or two surgical tests to try to diagnose or treat the problem. One test lets the doctor see inside the uterus and the other shows the outside of the uterus, the ovaries, and fallopian tubes.

You and your fertility doctor will decide which test is right for you based on your medical history and symptoms. In some cases, both procedures are done at the same time in an effort to find the cause of your infertility.

Hysteroscopy

A hysteroscopy gets its name from the thin telescope-like viewing device, called a hysteroscope, which is used during the procedure to let the doctor see inside your uterus. Usually performed by your reproductive endocrinologist (RE), a diagnostic hysteroscopy is done in office, without anesthesia. The procedure takes about 10 minutes but could take longer if the doctor finds something that can be corrected at the same time. (An operative hysteroscopy is done if there’s evidence of fibroids or polyps that need to be removed. This is an out-patient procedure in a hospital or surgery center.)

A hysteroscopy is used to see if your fertility problems are due to scar tissue or to problems with the shape or size of the uterus due to fibroids or polyps. It may also determine the cause of repeated miscarriages.

During the test, the doctor is able to not only find, but to treat, several other problems. For example, s/he can remove any small fibroids or polyps s/he finds during the procedure. The doctor may also be able to stop abnormal bleeding or remove a blockage in the fallopian tubes. If there are problem areas in the endometrial lining of the uterus, the doctor can remove them.

Laparoscopy

A laparoscopy uses a small telescope-like tube called a laparoscope to let the doctor see the outside of your uterus, ovaries, and fallopian tubes. A laparoscopy takes about 30 to 90 minutes but can take longer if the doctor finds something that can be corrected at the same time. It is usually done under general anesthesia, and most women go home the same day.

The test determines if there is a blockage in the fallopian tubes or if you have endometriosis or scar tissue that could be causing fertility problems. This procedure also allows the doctor to find and treat conditions such as endometriosis or pelvic inflammatory disease (PID, a pelvic infection which can cause infertility).

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Comments (6)

She's received keys to cities, multimillions in federal funding, and helped thousands! Dr. Jacqueline Del Rosario is "The How to lady." She teaches people to have better marriages, live life better, and recapture lost visions.

i just cant wait to get that sergery done and finally be able to have a baby im so excited theres nothing in the world i want more then to become a mom for the first time and have a baby or two of my own and finally have a little family with my boyfriend who i presently live with and been with for over a year and two month he is 36 years old and i am only 22 years old turning 23 on september 4th... and nothing would make us more happier then to have a baby and live a happy life with our little bundle of joy i believe that my tubs are just clogged and just to be unglogged because my aunt and my cuzent had the same thing done to them and once the got there faloppian tubes unglogged they got pregnent rite away because i had been pregnent allready once but i lost it because i chose to be dumb and go get bizzy with my ex boyfriend i was ninteen at the time i lost it rite after words we were haveing ruff sex and i lost for exsesive force but knw that ive found the rite guy in my life i want to make rite and give my husband something he can look forward to watching grow and who will one day call him daddy and me mommy... i cant wait to have my own little bundle of joy....

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I have polyps and fibroids,my husband is dis adisabled and needs 24 hour care,what would happen if I did nothing about them? Any advice welcome
thankyou

I have been told that I have fibroids and polyps, my husband is disabled, so what happens if I do nothing and just look after him? My doctor says it is up to me which was not a helpful reply! ! do not want to put him in a home for 10 days, any ideas would be welcome. Children are all working and live miles away, I also have sciatica but did buy a puppy previously ! Supposedly a labrador, but looks like a cross between a Great Dane and a kangaroo!

I had pid a couple times due to my lack of knowledge of my std. now the doc says my tubes could be scarred. i never went for the tests although i havent been able to get pregnant in over 2 years. I just want to be normal. people ask me if im on birthcontrol and its embarassing when i tell them no because they wonder how im not concieving.

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