Fertility-promoting surgeries

Fertility-promoting surgeries aim to assess, increase, or restore fertility. There are a variety of techniques available for this purpose.

Information for patients:

There are different types:

  1. Diagnostic hysteroscopy and laparoscopy
  2. Myomectomy
  3. Refertilization


Diagnostic hysteroscopy and laparoscopy: Diagnostic hysteroscopy and/or laparoscopy are used for assessment purposes. In hysteroscopy (uterine cavity examination), the uterus is viewed from the inside through the vagina using an optical system. This helps to investigate the causes of infertility, unexplained bleeding, or recurrent miscarriages. Additionally, abnormalities in the uterine cavity can be identified. Laparoscopy allows the examination of abdominal organs such as the uterus or ovaries from the outside using an optical system through the navel. This enables the identification of changes such as adhesions, tumors, or endometriosis, etc. Both hysteroscopy and laparoscopy can be used as surgical procedures for the treatment/correction of abnormalities.

Myomectomy: Fibroids are benign growths in the uterus that can cause pain, irregular bleeding, and infertility. They rarely occur in other parts of the body. Removal (myomectomy) is possible in most cases through hysteroscopy or laparoscopy while preserving the uterus.

Refertilization: Refertilization involves restoring the function of the fallopian tubes and thus fertility through surgical intervention. Patency is checked after a few months using contrast medium.

Microsurgical procedure (open): Microsurgical, open surgery involves reconstructing the fallopian tubes through an incision in the abdominal wall (laparotomy). Magnification is achieved through a microscope/loupe, enabling precise surgery. The blocked segment is removed, and the fallopian tube is reconnected.

Microsurgical procedure (laparoscopic): Refertilization can also be performed laparoscopically. The image is magnified four times, and the operation is otherwise similar to laparotomy.


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