Laparoscopy after IVF: features, tips and advice
Several decades ago, a diagnosis of «infertility» brought the women in horror and did not give any chance to conceive a baby naturally. The only exception could be a medical error. Today, in a world where everything is developing at an unbelievable pace, this diagnosis is not so scary, because there are many procedures that help women get rid of diseases and to conceive on their own or by artificial method, using the IVF procedure. Also good results in the treatment of infertility have shown laparoscopy. Which is better — surgery laparoscopy or IVF? Is it possible to carry out one procedure after another with some time interval? To answer these questions, we need to understand what are these two manipulations, and what are the chances they give.
Laparoscopy in infertility
Laparoscopy is one of the most gentle methods of invasive intervention, the tool diameter used during the procedure, is not more than 5 mm, and in mini-laparoscopy — and less than 3 mm. the Latter procedure is less efficient, so most doctors use it in cases when you need to diagnose.
Laparoscopy is a surgical procedure, but is less traumatic, is considered one of the obligatory stages of preparing women for IVF. Carried out an operation in order to eliminate the disease of the pelvic organs in women and the causes that prevent conception and bearing of a baby.
Diagnostic surgery helps to remove the causes of infertility, and the control procedure is necessary to monitor the condition of the female genital organs after surgery.
As shown, the control manipulation is carried out very rarely, while diagnosis and surgical intervention is often combined into one procedure. A similar survey is recommended to go to the woman who decided to try IVF.
Do I need a laparoscopy before IVF?
Many women are very interested in whether to do a laparoscopy, before in vitro fertilization, and if so, when, after a laparoscopy can you do IVF? Doctors believe that carry out IVF without prior laparoscopy is not desirable, but possible in some cases:
- the woman’s age should not exceed 38 years;
- the patency of the fallopian tubes is great (valid violations only in the middle section);
- endometriosis the initial stage;
- endometriosis inside the uterus or adenomyosis;
- if the patient strongly disagree.
If, after completing other forms of examinations, such as hysterosalpingography, ultrasonography and fertiloscopy, will be sufficient material for an accurate diagnosis, IVF and laparoscopy. But, as practice has shown, the decision in rare cases, it may be justified, since none of the above diagnostic methods can not be compared with the laparoscopy. This means that you can make an accurate diagnosis and find the cause of infertility and pathology of the female genitals only using laparoscopy. Pre operation several times enhances the chance to conceive after IVF. In addition, this procedure gives the woman a chance to conceive on their own and eliminates the risk of ectopic pregnancy.
Just to make sure, whether laparoscopy before IVF, you need to carefully study the numbers that fix the doctors. 35% of women who undergo invasive surgical intervention, during the year after her recorded self-conception, even if they previously set a serious diagnoses such as endometriosis or polycystic ovarian syndrome.
Also very good performance (about 50 %) of conceiving a child with IVF in women, which was previously held invasive surgery. In this case, the attachment of the embryo to the uterine wall occurs better. In addition, the procedure eliminates all possible infections, dangerous to the fetus, leading to a partial, or ectopic pregnancy. On this basis, we can say that laparoscopy before IVF is justified and gives more chances of conceiving. But when you can do IVF after laparoscopy, there is no single answer, because disease in women is different and the disease occurs in many forms, but we can definitely say that many doctors recommend in vitro fertilization a year after sparing surgery.
Manipulation under laparoscopic surgery to artificial insemination
Each patient has their own disease of the reproductive system for not allowing her to independently conceive a baby, but due to the invasive intervention is able to find the cause of infertility and eliminate it, thereby enabling the woman to conceive. Thanks to the operation carried out before IVF, it is possible to get rid of many pathologies of the reproductive system and delete:
- endometrioma cysts;
- of endometriosis tissue, including infiltration, located in the peritoneum of women;
- different damage of the fallopian tubes;
- ovarian cysts;
- fibroids of the uterus, but not in all cases;
Special attention is paid to checking the fallopian tubes. If they look zakosarenko, the question of whether to remove, it is not necessary — in this case, only the removal and will be able to help. If there were some adhesions or Capannoli, the doctors are trying all possible ways to save the pipe. However, it is important to know that during the artificial insemination the presence of pipes and their absence in no way affects fertility. But the presence of inflammatory processes, infections and supanet can reduce the likelihood of such. Sometimes during surgery, invasive interventions, the doctor may decide to reconstruct the fallopian tube — thus, the spikes are removed and are created the best conditions for the healing process. But this procedure does not always produce the desired effect, especially in conditions of lack of time before in vitro fertilization.
With regard to fibroids, it does not affect conception, but may have a negative impact on vynashivalas. Gentle operation helps eliminate the fibroids and increase the chance of vynashivanie pregnancy. If the size of fibroids site does not allow you to carry out the operation, the fertilization postponed as long as the node will not be deleted and will not pass the postoperative period.
Laparoscopy female reproductive organs performed under anesthesia, the procedure takes less than an hour. After only a few hours after the surgery, the woman feels well, but under observation remains for 7 days. The stitches in this case will not impose the cuts heal on their own, it takes about a month. After that the doctor decides when to appoint the in-vitro procedure; the dates the individual.
To spend a laparoscopy after failed IVF you can, it will help to identify the reason why the embryo is not attached, and fix it. It should be remembered that in each case only a doctor to recommend full, when it is possible to carry out every treatment, because the causes of infertility can be different in each patient.