Laparoscopy

Many causes of infertility don’t show up on an ultrasound like scar tissue around the fallopian tubes, mild endometriosis and small fibroids sitting in the wrong place.. Laparoscopy lets our specialists look directly inside the pelvis, find the problem, and in most cases treat it there and then, through small incisions rather than open surgery.

At Conceive Gynecology and Fertility Hospital, laparoscopy is performed routinely.

What is laparoscopy?

Laparoscopy, sometimes called keyhole surgery, is a minimally invasive procedure that lets a surgeon examine the abdomen and pelvis using a laparoscope which is a thin tube fitted with a light and a camera. A few small incisions, usually under a centimetre each, are enough to insert the laparoscope and any instruments needed.

The camera sends a magnified, high definition image of the pelvic organs to a monitor in real time. This gives our surgeons a far clearer view of the uterus, fallopian tubes, and ovaries than any scan can provide. 

Compared to traditional open surgery, laparoscopy means a shorter hospital stay, less pain afterwards, faster recovery, and minimal scarring. Most patients go home the same day or the day after.

Who is laparoscopy recommended for?

Our specialists recommend laparoscopy when there’s a reasonable suspicion that something structural is affecting fertility. It’s typically used when:

There are signs of endometriosis. Endometriosis often can’t be confirmed without direct visualisation. Laparoscopy both diagnoses it and allows us to remove or treat the affected tissue in the same procedure.

There’s a suspected blockage in the fallopian tubes. Blocked or damaged tubes prevent the egg and sperm from meeting naturally. Laparoscopy can confirm the blockage and, in some cases, repair it.

Ovarian cysts need to be assessed or removed. Some cysts affect ovulation or egg quality. Laparoscopy allows precise removal while preserving as much healthy ovarian tissue as possible.

Pelvic adhesions or scar tissue is suspected, often from a previous surgery, infection, or untreated endometriosis. Adhesions can distort the pelvic anatomy enough to prevent conception.

Fibroids are affecting the shape of the uterus or pressing on the fallopian tubes. Depending on size and position, fibroids can sometimes be removed laparoscopically.

Recovery post Laparoscopy

Most women feel back to normal within three to five days, though it’s sensible to avoid heavy lifting and strenuous exercise for around two weeks. Some shoulder or abdominal discomfort in the first day or two is normal, caused by the gas used during the procedure, and settles on its own. Mild bruising around the incision sites is common and fades quickly.