Together, we’ll discuss a variety of treatment options as we work to create your personalized treatment plan. Surgery can often help to maximize your chance to achieve a healthy pregnancy. The majority of surgical procedures we perform are minimally invasive, done on an outpatient, same-day basis and have a very short recovery time.
Egg retrieval is a brief procedure performed in the office under sedation, which, in our office, is administered by a board-certified physician anesthesiologist for your maximum safety. During retrieval, under the guidance of ultrasound the physician will aspirate the fluid from each of the follicles in the ovaries that developed during stimulation. The procedure usually results in little discomfort and most patients return to their normal daily routine within a day or two.
Hysteroscopy is a surgical procedure performed under anesthesia that involves direct inspection of the uterine cavity. The physician introduces a thin telescope, attached to a camera and light, through the cervix and into the uterus. The procedure can identify and treat conditions such as uterine polyps, fibroids, adhesions, and developmental abnormalities that can interfere with fertility or cause miscarriage. Patients usually can expect to go home the same day and return to their normal activities within a few days.
Dilation and Curettage (D&C)
A D&C is performed under intravenous sedation to obtain a sample of the uterine lining or to remove abnormal tissue from the uterus. It may be used to help determine the cause for abnormal bleeding, to remove a failed pregnancy, or to complete a miscarriage. A D&C is a brief procedure and patients can expect to return to normal activities within a day or two.
Laparoscopy is a minor surgical procedure performed under anesthesia that involves direct inspection of the pelvic and abdominal organs. The physician introduces a thin telescope, attached to a camera and light, through a small incision in the abdomen to inspect the uterus, fallopian tubes, and ovaries. The procedure can identify and treat conditions that can interfere with fertility, such as uterine fibroids, ovarian cysts, tubal blockage, and endometriosis. Patients can expect to go home the same day and return to their normal activities within one to two weeks, depending on the extent of the surgery required.
Varicocelectomy is an outpatient surgical procedure performed under anesthesia by a male reproductive specialist to correct a varicocele, which occurs when the valves within the veins surrounding the testicles do not work properly and become enlarged. The dilated veins can cause discomfort and interfere with normal sperm production. The physician makes a small incision in the lower abdomen to expose and ligate or remove the dilated veins.
Vasectomy reversal is a delicate microsurgical procedure performed under anesthesia by a male reproductive specialist to restore fertility to men who had a previous sterilization procedure. The physician makes incisions in the scrotum to expose and reconnect the ends of the vas deferens (the tubular organ that transports sperm from the testicles to the penis) allowing sperm to return to the semen.
Sperm retrieval techniques are procedures performed under anesthesia by a male reproductive specialist to obtain sperm directly from the testicles or from the epididymis, which is the tightly coiled tubular organ in which sperm normally are stored until ejaculation. Testicular sperm extraction (known as TESE) or microsurgical epididymal sperm aspiration (known as MESA) are two methods that can be used to obtain sperm for in vitro fertilization (IVF) when there are no sperm in the semen. TESE is used when sperm production is very low, and involves the removal of a small piece of testicular tissue through an incision in the scrotum. MESA is used when sperm production is normal but there is a blockage that prevents sperm from entering the semen, and involves insertion of a thin needle or catheter into the epididymal tubules where the sperm collect in front of the blockage.