Other Cause of Infertility
Endometriosis and Fertility
Endometriosis is known to have a negative impact on fertility. It is recommended that an ovarian endometrioma (cyst of ovary due to endometriosis) greater than 5 cm is removed prior to IVF.
This is performed as a Day Stay procedure under general anaesthesia. A laparoscopy is performed. The laparoscopic excision of endometriotic deposits in other areas of the pelvis is known to improve the chances of spontaneous conception for up to 12 months following the procedure. (see gallery)
Endometrial Polyps and Fertility
A polyp is a benign overgrowth of the lining of the uterus (endometrium). Polyps can rarely be cancerous. A polyp is diagnosed at transvaginal ultrasound or other methods to image the uterus including HyCoSy and Hysterosalpingogram.
A polyp is removed during a procedure called a Hysteroscopy. This is performed in a Day Stay Unit under general anaesthetic. The procedure takes about 30 minutes. A fine tube is inserted into the cervix and up into the uterus. A camera on the end allows very detailed images of the lining of the uterus. (see gallery)
Ovarian Cyst AND FERTILITY
An ovarian cyst greater than 5 cm can have a negative impact on fertility. It can also have a negative impact on the success of IVF and other forms of fertility treatment. An ovarian cyst greater than 5 cm is removed prior to IVF. This is performed as a laparoscopy in a Day Stay Unit under general anaesthesia. The cyst is removed via keyhole surgery.
Cysts can include dermoid cysts, simple cysts and cystadenomata (mucinous and serous). The cyst is sent for histopathological analysis. (see gallery)