An examination of a woman’s internal pelvic structure can provide important information regarding infertility and common gynecologic disorders. Problems that cannot be discovered by an external physical examination may be discovered by laparoscopy and hysteroscopy, two procedures that provide a direct look at the pelvic organs. These procedures may be recommended as part of your infertility care, depending on your particular situation. Laparoscopy and hysteroscopy can be used for both diagnostic (looking only) and operative(looking and treating) purposes.
Diagnostic laparoscopy may be recommended to look at the outside of the uterus, fallopian tubes, ovaries, and internal pelvic area. Diagnostic hysteroscopy is used to look inside the uterine cavity. If an abnormal condition is detected during the diagnostic procedure, operative laparoscopy or operative hysteroscopy can often be performed to correct it at the same time, avoiding the need for a second surgery. Both diagnostic and operative procedures should be performed by physicians with surgical expertise in these areas. The following information will help patients know what to expect before undergoing any of these procedures.
Laparoscopy is almost always performed under general anesthesia. This means you’ll be unconscious for the procedure. However, you may still be able to go home the same day.Once you’re asleep, a small tube called a catheter will be inserted to collect your urine. A small needle will be used to fill your abdomen with carbon dioxide gas. The gas keeps the abdominal wall away from your organs. It reduces the risk of injury.Your surgeon will make a small cut in your navel and insert the laparoscope, which transmits images to a screen.
Laparoscopy is helpful In
- Unexplained infertility
- Unexplained pelvic pain
- A history of pelvic infection
- Uterine fibroids
- Ovarian cysts or tumors
- Ectopic pregnancy
- Pelvic abscess, or pus
- Pelvic adhesions, or painful scar tissue
- Pelvic inflammatory disease
- Reproductive cancers
The procedure does not require an overnight stay in the hospital and usually only takes around 1 hour to complete. The doctor will provide instructions about the preparation for the procedure.For many types of endoscopy, the individual needs to fast for around 12 hours, though this varies based on the type.For procedures investigating the gut, laxatives may be taken the night before to clear the system.A doctor will carry out an examination before the endoscopy. It is important to mention all current medications (including supplements) and any previous procedures.