Find a Doctor

Reproductive Surgery


Infertility treatment commonly involves assisted reproductive technology to improve the chances of conception, but there are also a variety of structural causes of female and male factor infertility that have surgical solutions.

Female Reproductive Surgery

Reproductive surgery and diagnostic procedures (particularly diagnostic hysteroscopy) can correct tubal obstruction, endometriosis, uterine fibroids, and scarring from pelvic inflammatory disease.

  • Laparotomy Microsurgery: This female infertility treatment involves the use of a microscope to perform reproductive surgery. Laparotomy microsurgery can be used for endometriosis treatment or to remove scar tissue and reconstruct fallopian tubes. This procedure is more invasive than most, but it is an excellent option for many women facing fertility problems.
  • Laparoscopy: This procedure entails the use of a laparoscope to perform surgery. The laparoscope is inserted through a small incision in order to view the pelvic organs. Operating through additional small incisions, scar tissue can be removed and damaged fallopian tubes can be repaired. This procedure is commonly used for female infertility and endometriosis treatment.
  • Diagnostic Hysteroscopy: Diagnostic hysteroscopy is an important tool used to diagnose female infertility. This treatment involves the use of a fiber optic scope to inspect the uterus for abnormal uterine conditions such as fibroids, polyps, and scarring. Diagnostic hysteroscopy is performed by stretching the cervical canal and using the scope to view the internal structure of the uterus. Diagnostic hysteroscopy is commonly performed on an outpatient basis and recovery time is typically between two and three days.
  • Falloposcopy: This female infertility treatment is used to inspect the fallopian tubes for abnormalities such as tube obstruction, scarring, and damage to the inner lining. The falloscopy procedure entails the use of a fiber optic scope to inspect the fallopian tubes and correct any of the above conditions. It will also allow your physician to determine and recommend other female infertility treatment if the damage is too severe.

Possible Risks of Surgery

As with any surgery, there are risks associated with reproductive surgery and diagnostic female infertility treatment. Possible complications may include infection, bleeding, and reactions to anesthesia. Specifically, the intestine or urinary tract can be injured during a laparoscopy, the uterus can be injured during a diagnostic hysteroscopy or falloposcopy, and a tubal pregnancy can occur after tubal surgery. These risks are uncommon; however, they should be discussed with your fertility specialist before you decide to undergo surgery.

Male Reproductive Surgery

In addition to the male infertility treatment methods used for assisted reproductive technology, there are a several surgical infertility solutions available to treat specific anatomical problems:

  • Vasoepididymostomy: Vasoepididymostomy is a surgical procedure designed to treat an epididymal obstruction, such as scarring or cysts, which can block the sperm from traveling into the vas deferens. This male infertility treatment is a difficult microsurgical procedure, requiring a skillful and experienced surgeon.
  • Varicocelectomy: Varicocelectomy is the most common procedure performed for male infertility. This treatment is essentially a surgical procedure to repair varicoceles (varicose veins of the testicles). The additional blood from varicoceles can raise the temperature of the testes and impair sperm production, causing low sperm count. Treatment to repair this condition requires that veins are cut to eliminate blood flow to the varicocele, improving fertility and increasing the chances of conception.

Locate a Fertility Specialist

For more information about surgical male infertility treatment and low sperm count treatment, such as sperm retrieval and sperm washing, find a fertility specialist in your area today.

Want More Information?

Contact a Doctor Near You.