Surgical Options

If you are experiencing infertility problems but are hoping to become pregnant, you may want to consider a variety of treatment options. Sometimes, surgical procedures are the best way to increase your chances for pregnancy. A number of different conditions sometimes require surgery in order to reduce symptoms and increase fertility. If you are suffering from uterine fibroids, endometriosis, polyps, or other uterine complications, surgery may be a good option for you.

Uterine Fibroid Surgery
Uterine fibroids are tumors that grow inside and on the surface of the uterus. They can become large, causing painful symptoms and infertility. If your uterine fibroids are causing you particular difficulties, including severe bleeding or recurrent miscarriage, surgery to remove your fibroids may be a good option. Surgery can also help to restore your fertility. Generally, there are two different types of surgery that can be used to treat fibroids:


    Myomectomy is a procedure in which your fibroids are removed from your uterus. There are a number of different ways to perform a myomectomy. Your fibroids can be removed through your vagina, using a special microscope called a hysteroscope. Or, your fibroids can be removed through your abdomen, using a laparascope. Recovery time depends upon the type of procedure performed, but generally takes between two and six weeks. There is a chance that your fibroids will return after this procedure. About 30% of women experience regrowth within 10 years.


    Hysterectomy can also be used to remove uterine fibroids. This is a procedure that involves the removal of your uterus. If you are considering surrogacy, hysterectomy may be a good choice for you. Most of the time, your ovaries can be left behind, allowing you to conceive a child biologically related to you. Through an incision in your abdomen, your surgeon will remove your uterus and possibly your cervix, along with your fibroids. This procedure is 100% effective against re-growth.

Uterine Polyp Surgery
Uterine polyps are small growths that develop inside your uterus. They tend to be small, but can sometimes interfere with the lining of your uterus, preventing pregnancy. Uterine polyps can be removed through a simple procedure, if they are causing you fertility difficulties.


    Dilation and Curettage (D&C)
    Uterine polyps are removed in a simple procedure called dilation and curettage. Under local anesthesia, your vagina will be dilated using a flexible metal instrument. Your cervix is then dilated using special metal spacers. A sharp metal instrument, called a curette, is then inserted into the vagina and up through the cervix. The curette has a metal loop on one end, which is used to scrape off the uterine polyps. D&C typically takes about 30 minutes and recovery time is short.


Table of Contents
1. Surgical Options
2. Consider surgery
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