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Laparoscopy

Diagnostic laparoscopy before IVF

Laparoscopy is a procedure that is performed under general anesthesia and requires hospitalization. Due to the complications that occur in 2-3% of patients, laparoscopy may rarely result in potentially life-threatening consequences. For this reason, it is not a first-mentioned procedure in infertility tests. Laparoscopy can be used in cases of pelvic infections, infertility cases related to fallopian tubes, and in presence of abnormal findings indicated by other tests.

Therapeutic laparoscopy before IVF

Therapeutic laparoscopy procedures employed before IVF treatment to improve the success of the procedure have some indications. For example, in case of the accumulation of fluid in the tubes, salpingectomy can be performed depending on some factors. The indications for chocolate cysts are a little more complicated. Correcting the results of IVF after surgery depends on the type of lesions and the severity of the disease. Considering  myoma treatment, several studies indicated that myomectomy did not affect success rate of IVF procedure. Therefore, the decision of myomectomy should be made independently of IVF treatment. In order to diagnose such conditions, it is not necessary to routinely perform laparoscopy before IVF treatment. Abnormal results obtained from ultrasonography and HSG determines the diagnosis phase.

What are the indications for laparoscopy before IVF?

  • Laparoscopy is not performed for the cases that do not have abnormal or suspicious clinical symptoms, whose pelvic system is normal and who suffer from unexplained infertility.
  • Laparoscopy can be performed if pelvic infection is suspected according to medical history, risk factors, pelvic examination of the patient or if abnormal images are obtained.
  • Laparoscopy is indicated in presence of severe endometrioma or pelvic cysts especially in case of repeated IVF failures.

Do hysteroscopy/laparoscopy performed before IVF increase the success rate of the IVF procedure?

Hysteroscopy and laparoscopy are part of the treatment applied for infertility cases. However, they should be performed only when necessary. These procedures are not routinely performed before IVF. However, they are highly effective in diagnosis and treatment. For this reason, their use before IVF should not be ignored. Clinical manifestations should be carefully analyzed and a personalized approach should be adopted. In this way, the success chance can be increased.