Also known as the keyhole surgery, laparoscopy is a minimally – invasive procedure mainly done on gallbladder surgeries and gynaecology operations but now are also performed in intestines, liver, kidneys and other organ operations. It includes making several small incisions about half an inch in size, they insert tubes in each incisions where the operating instruments and camera will be entered and so the procedure will be done.
Unlike traditional open surgery procedures there are a lot of wonderful benefits like minimal scarring on the surgery area, shorter recovery period, and less post procedure pains. While this technique has become famous, it is important for patients and medical professionals to deeply understand its potential complications on fertility. This blog post will provide an overview of the fundamental questions and perspectives on the fertility outcomes associated with laparoscopic procedures.
Laparoscopic surgery is widely performed surgery to combat various gynaecological problems that includes the following:
A condition where the tissue lining the uterus (endometrium) grows outside the uterus, leading to pain, infertility, and other complications.
Fluid-filled sacs that develop in the ovaries and may disrupt normal ovulation and hormone production.
Laparoscopy can address issues such as tubal blockages or adhesions that may hinder fertilisation and embryo transport.
Benign growths in the uterus that can cause heavy bleeding and interfere with fertility.
This procedure has been flooded with concerns and worries regarding its potential impact on a woman’s ovarian reserve. Ovarian reserve refers to how plentiful and how valuable the eggs are in the ovaries. Previously done studies and research have indicated that this surgery may result in a slight reduction in ovarian reserve, specifically when treating endometriosis. But do not fret, in most cases, this reduction is not enough reduction to affect your overall fertility health.
However, even if this surgery is designed to lessen scarring of the tissues, some level of tissue adhesion can happen after the procedure. Adhesions may affect the mobility of your reproductive organs, including the fallopian tubes, that may result in potential fertility problems.
Laparoscopy can be used to fix tubal blockages, it will improve tubal patency and the chances of natural conception can occur more frequently.
Timing plays a very important role in making the fertility outcomes of laparoscopic surgery more favourable. Here are some situations you need to remember and take note:
If it’s possible, it is advisable that you undergo the surgery before you try to conceive a child. Treating gynaecological problems like endometriosis or ovarian cysts beforehand can make the chances of natural conception more successful and lessen the potential complications during pregnancy.
There are chances that the laparoscopic surgery will be performed as part of fertility treatment plans, such as in vitro fertilisation (IVF), the timing is very important. Precise coordination between the surgical and ART teams is critically required as this will make sure the best outcome will happen.
To gain more insights into the fertility implications of laparoscopic surgery, we spoke with Gynecologists and Obstetrics at Lotus Medics website, to further understand how one life-saving procedure can harm your ability to reproduce a family.
Experts emphasised the importance of personalised treatment plans and patient counselling. “No two patients are the same, and the side – effects of laparoscopic surgery on fertility can be different in each patient. As we are medical professionals, it is our responsibility to thoroughly examine each patient’s condition, problems. – let them know the potential risks of surgery, and to also consider their fertility goals in life.”
Concerning implications on ovarian reserve, Experts explained, “While laparoscopic surgery can result in a slight reduction in your ovarian reserve, it is important to remember that other factors, such as age and your holistic health can be a much more concerning factors that play a more significant role in a woman’s fertility potential.”
On the topic of adhesions and scarring, Experts mentioned, “Minimizing tissue trauma during surgery is vital to prevent excessive adhesions. Additionally, post-operative measures, such as using adhesion barriers, can further reduce the risk of complications.”
The Experts also highlighted the importance of fertility preservation, saying, “For women with serious fertility concerns, such as those diagnosed with severe endometriosis, fertility preservation options like egg freezing before surgery may be considered.”
Laparoscopic surgery is a valuable tool in gynaecology and obstetrics, offering numerous advantages for both patients and medical professionals. While it may have some implications on fertility, the overall impact is often manageable, especially with careful patient evaluation, timing, and collaboration between specialists.
As always, individualised treatment plans and patient counselling are essential in optimising fertility outcomes after laparoscopic surgery. If you have concerns about your fertility or are considering laparoscopic surgery, consult a qualified gynaecologist or fertility specialist for personalised guidance.