Role of surgery to optimise outcome of assisted conception treatments

Yalanadu Narendra Suresh, Nitish Narvekar
In: The Obstetrician & Gynaecologist · 2013 · vol. 15(2) , pp. 91–98 · doi:10.1111/tog.12006 · W2021497054
article OA: closed CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper assesses surgical interventions prior to assisted conception for conditions like hydrosalpinx, fibroids, uterine septum, adhesions, and endometriosis to optimize fertility outcomes.

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Abstract

Key content Assisted conception technology such as in vitro fertilisation ( IVF ) is the first‐line treatment of many causes of female subfertility and surgery is offered primarily to optimise the outcome of such treatments. An awareness and understanding of the evidence about the different surgical interventions used prior to assisted conception is essential in achieving the best possible outcome. Learning objectives To assess the fertility needs of women including the need for surgery. To understand the role of different surgical interventions prior to assisted conception for the management of hydrosalpinx, uterine fibroids, uterine pathology such as a uterine septum and intrauterine adhesions, and the treatment of endometriosis and ovarian endometriomas. Ethical issues Women should be counselled about the benefits and risks of surgery including the risk of delay to their assisted conception. A sympathetic approach is needed for women who are already emotionally and physically stressed. There are financial implications involved in IVF treatment. Psychosocial issues and anxiety require a multidisciplinary approach.

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endometriosis

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last seen: 2026-06-04T00:00:01.174412+00:00
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