Infertility is symbiotic with anomalies in the womb or abdomen. There are two primary procedures that are employed to detect inconsistencies in these areas. A hysteroscopy is performed with the aim of examining potential problems in the uterus that may be leading to infertility. It is performed using a fine device known as a hysteroscope, which is clipped with a tiny camera and light on its beak. It is then passed through the vagina, upwards towards the endometrium. Similarly, a laparoscopy procedure is a keyhole into a woman’s abdomen and pelvic region, and is especially useful to treat cysts, endometriosis and fibroids, in addition to a host of other conditions. This technique uses a laparoscope, a lightweight tool that is inserted through incisions made in the abdomen, to view an array of organs.
A hysteroscopy and a laparoscopy usually go hand in hand, working together to provide your fertility consultant with a view into your endometrial landscape. There are several reasons why these procedures may be recommended.
In some cases, the shape or size of the uterus may be out of the ordinary, proving hostile for an embryo. In other cases, the presence of scar tissue could be a hindrance to fertility. The hysteroscopy and laparoscopy procedures spotlight anomalies like these.
For women whose fallopian tubes are blocked at the uterine openings, natural conception may be hampered. By sliding fine tools through a hysteroscope, your fertility consultant may be able to open the fallopian tubes
Hysteroscopy and laparoscopy procedures are also recommended if you have experienced recurrent miscarriages, or house small fibroids or polyps in your uterus. On Cloudnine, these twin techniques are useful tools in gauging the cause for infertility.
If you experience severe bleeding out of turn, or suffer from abnormal pain in your abdomen, it is recommended that you consult a gynaecologist. Although these conditions may not have a bearing on your fertility, your doctor may recommend hysteroscopy and laparoscopy routines to assess possible scenarios.
Although hysteroscopy and laparoscopy routines are performed differently, they can be broadly broken down into five fundamental steps.
In a hysteroscopy, your doctor will first dilate the cervix, to allow it to become wide enough to accommodate a hysteroscope. In a laparoscopy on the other hand, a tiny incision measuring about one centimetre is made in the abdomen, just north of the belly button
During a hysteroscopy, once the cervix is sufficiently widened, a hysteroscope is slid gently through the vagina and cervix and into the uterus. Likewise, a laparoscopy entails the insertion of a laparoscope through an incision in the abdomen.
In both procedures, your doctor will insert carbon dioxide through a tube, to inflate the uterus and clear away any traces of blood or mucus.
Once the uterus has been expanded and cleansed, the small light attached to the beak of the hysteroscope or laparoscope is flicked on, allowing your doctor to assess the abdominal cavity.
Sometimes, a procedure may reveal abnormalities in the abdominal cavity that need to be corrected through surgery. In such a case, your doctor may perform a small surgery through the hysteroscope or laparoscope, using minute tools.
Hysteroscopy and laparoscopy procedures are considered extremely safe, but invasive procedures, however routine, are prone to complications if not handled adequately.
Both techniques present the risk of scarring or injury to the cervix, uterus or bladder if not done by a seasoned specialist. On Cloudnine, our team of fertility experts have years of experience performing these procedures, and devote time to a guest before and after a surgery.
Invasive procedures like these could be potential triggers for infections if the tools used are not sterilised, or if the environment is contaminated. That’s why, our facilities are meticulously sanitised after every surgery and procedure, ensuring the highest standards in hygiene.