About Hysterolaparoscopy
Key Highlights
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Dual Diagnostic Power: Simultaneously evaluates both the internal uterine cavity and external pelvic organs in one procedure.Minimally Invasive: Performed through small keyhole incisions, leading to less pain, minimal scarring, and faster recovery compared to open surgery.Therapeutic Potential: Allows for immediate treatment of identified issues like polyp removal, adhesionlysis, or mild endometriosis ablation.listrongHigh Accuracy:/strong Provides direct visual confirmation of anatomical and structural causes of infertility, which imaging alone may miss./lilistrongOptimizes IVF Success:/strong Correcting uterine abnormalities before an IVF cycle can significantly improve embryo implantation rates./li/ul
Who is this surgery for?
- Unexplained infertility after basic evaluation.
- Suspected tubal factor infertility (blocked or damaged fallopian tubes).
- Abnormal findings on HSG (Hysterosalpingogram) or pelvic ultrasound.
- Suspected uterine abnormalities like submucosal fibroids, polyps, adhesions (Asherman's syndrome), or a septate uterus.
- Suspected pelvic endometriosis or adhesions causing pain or infertility.
- Recurrent implantation failure in IVF cycles.
- Recurrent pregnancy loss (miscarriage).
- Evaluation of chronic pelvic pain of unknown origin.
How to prepare
- A comprehensive pre-anesthetic check-up, including blood tests and ECG, is required.
- The procedure is scheduled in the first half of the menstrual cycle, typically after the period ends and before ovulation.
- Patients may be asked to stop certain medications (like blood thinners) a few days prior, as advised by the doctor.
- Fasting for 6-8 hours before the procedure is mandatory for general anesthesia.
- Informed consent detailing the procedure, benefits, and risks must be provided and signed.
- Arranging for someone to drive the patient home post-procedure is essential.
Risks & possible complications
- General anesthesia-related risks (allergic reaction, breathing difficulties).
- Infection at the incision sites or in the pelvis.
- Bleeding or hematoma formation.
- Injury to surrounding organs like the bladder, intestines, uterus, or blood vessels (rare).
- Complications from the distension media used in hysteroscopy (fluid overload in very rare cases).
- Formation of new adhesions (scar tissue) post-procedure.
- Failure to diagnose or treat the underlying condition.
Recovery & hospital stay
- Most patients are discharged the same day or after a 1-night hospital stay.
- Mild pelvic cramping, shoulder tip pain (from gas), and vaginal spotting for a few days is normal.
- Oral pain medication is prescribed to manage discomfort.
- Patients should avoid strenuous exercise, heavy lifting, and sexual intercourse for 1-2 weeks as advised.
- Normal daily activities and light work can usually be resumed within 2-3 days.
- A follow-up appointment is scheduled to discuss the findings and plan the next steps in fertility treatment.
- Contact the doctor immediately for signs of fever, severe pain, heavy bleeding, or foul-smelling discharge.
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Typical hospital stay: 1 day (often same-day discharge)
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Expected recovery time: 1-2 weeks
Frequently Asked Questions
If you are considering hysterolaparoscopy in India, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in India with ivf and reproductive medicine departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform hysterolaparoscopy. MediFyr helps you compare ivf and reproductive medicines and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for hysterolaparoscopy compare across other countries where we have data.
Rahul Jones, a 32-year-old transgender man,...
Rahul Jones, a 32-year-old transgender man, had been on testosterone therapy for five years as part of his medical transition. He and his cisgender female partner were ready to start a family and wanted to explore pregnancy options using her eggs. However, persistent pelvic pain and irregular breakthrough bleeding were causing Rahul significant distress, threatening his sense of bodily congruence. His reproductive endocrinologist recommended a hysterolaparoscopy to investigate the source of the pain, potentially fibroids or endometriosis, and to assess the health of his uterus in case they pursued gestational surrogacy with his partner's embryos. The procedure was emotionally fraught; entering a fertility clinic was a complex experience, but the staff was respectful of his identity. The surgery revealed and excised mild endometriosis. Physically, recovery was straightforward. Emotionally, the outcome was profound. Having a definitive, treatable cause for his pain was validating. Furthermore, the confirmation that his uterus was healthy enough to potentially carry a pregnancy, should he ever choose to, provided an unexpected sense of future possibility and autonomy over his reproductive choices that he hadn't dared to hope for.
IVF and Reproductive Medicines for Hysterolaparoscopy
Explore experienced ivf and reproductive medicines who regularly perform hysterolaparoscopy and provide pre- and post-operative care in India.
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