The Role of Laparoscopy Surgery in Infertility

Budi Santoso
In: Folia Medica Indonesiana · 2007 · vol. 43(3) · W2156896252
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Laparoscopy is used to diagnose and treat infertility by evaluating the uterus, fallopian tubes, and ovaries for abnormalities like adhesions and endometriosis when lab tests are inconclusive.

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Abstract

To deal with infertility, a patient probably should have a number of diagnostic tests performed in order to find out the exact cause of the problem. If there is no obvious abnormality, ovulation induction with clomiphene citrate is often one of the first treatment options used. If pregnancy has not been achieved after four ovulatory cycles, laparoscopy has been routinely used to search for anatomical abnormalities. If diagnostic laboratory tests are not conclusive when it comes to determine the root cause of the infertility, laparoscopy is used to evaluate outside condition of the uterus, fallopian tubes, and ovaries. It is often employed when an infertility diagnosis cannot be reached through laboratory tests alone. It checks the presence or absence of adhesions, endometriosis, and other infertility-causing disorders. Laparoscopy is the gold standard for the diagnosis intrapelvic adhesions or tubal disease. Laparoscopy is an outpatient surgery performed in the hospital under general anesthesia by inserting a telescopic device into abdominal cavity through a small incision made in the naval, while surgical instruments are inserted through another little incision made at the top of the pubic bone. If adhesions or endometriosis are found, these can be treated during the same procedure. Laparoscopy usually takes less than an hour, so that most of patients may leave the hospital within three to four hours after surgery.

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endometriosisinfertility

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