The Touch Clinic is Best Fertility Centre in Mohali region with a vision to deliver the best of facilities and a customized boutique clinic at the affordable price The inability of a couple to conceive (infertility) can be linked to several causes. The most common causes are tubal diseases, endometriosis, ovulatory disorders, male factor infertility, and cervical or uterine factors. Infertility treatment in India aims at assessing the reproductive system for any of these disorders.
Laparoscopy is a worldwide procedure used to examine infertility. Through the infertility diagnosis, almost 40% of patients go through the diagnostic hysteron-laparoscopy. This procedure uses a laparoscope – a thin fiber optic telescope – which is implanted into the abdomen through the belly button to have a direct view of the pelvic organs. Compared to hysterosalpingogram and ultrasonography, laparoscopy can be used to get the ovarian and tubal status, peritubular status, and even to identify the site of the tubal obstruction. This procedure is recommended for couples who have undergone other basic infertility assessments. It can be used to identify many gynecological conditions such as uterine fibroids, ovarian cyst, endometriosis, and all other structural abnormalities.
Laparoscopic ovarian drilling should be considered for PCOS patients only if controlled ovulation induction with IUI has failed. It has been proven to be as effective as gonadotrophins in females who have clomiphene resistant PCOS. However, repetitive laparoscopy ovarian drilling should be eluded as it may have long term negative effects on the ovarian performance.
Another essential role of laparoscopy is in the diagnosis and control of endometriosis. Endometriosis causes infertility by causing pelvic scarring thereby distorting its anatomy. Laparoscopy is used to diagnose mild endometriosis which is hard to identify with an ultrasound. Removing the mild endometriosis has not yet been established as the effective treatment for infertility although it works for moderate and severe endometriosis.
Laparoscopy can also be used to manage fibroids. Fibroids can change the shape of the cervix, distort uterine cavity, weaken the uterus lining, and also can lower the blood supply to the embryo which may cause a miscarriage. Removal of the intramural fibroids may improve fertility although not significantly.
Laparoscopic directed hysteroscopy cannulation can also be used as an alternative to IVF in a situation of proximal tubal block. Least invasive robot surgery is recommended where more precision is compulsory.
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