Fertility Promoting Surgery
Most of the fertility promoting surgeries performed by UF Health reproductive medicine physicians utilize minimally invasive surgery techniques allowing the discharge of our patients home often on the same day without needing an overnight hospital stay.
These techniques include laparoscopy, hysteroscopy and mini-laparotomy. The majority of minimally invasive surgery cases are performed at the UF Health Florida Surgical Center, a state-of-the-art stand-alone ambulatory surgery center of UF Health Shands Hospital. Some surgeries like multiple myomectomies performed through a larger abdominal incision require admission to UF Health Shands Hospital for 24 to 48 hour period to observe and support initial recovery. Our surgical schedulers at UF Health Women’s Center at Springhill will assist you to schedule your surgery with your physician.
Laparoscopy has become one of the most common procedures performed nationally by many surgical specialists. UF Health reproductive medicine physicians use laparoscopy for removal of ectopic pregnancies, treatment of endometriosis, assessment and removal of abnormal ovarian masses, ovarian drilling to induce ovulation in clomiphene and letrozole resistant patients with polycystic ovary syndrome, evaluation and treatment of tubal disease, removal of small uterine myomas and more. It uses CO2 gas to distend the abdominal cavity to ease exploration and placement of a specific telescope (a lens and a light system) connected to a video camera into the abdomen, primarily through the belly button. This site usually requires 5-10 mm incision. Then the surgeon may need to use additional 5 mm incision sites in the lower abdomen to introduce laparoscopic instruments to explore or to perform the relevant surgical procedure.
Hysteroscopy is an excellent diagnostic technique for investigating potential abnormalities detected in screening tests like saline infusion sonography or hysterosalpingography. This is a minimally invasive procedure for evaluating the uterine cavity and treating various cavity abnormalities. It involves the placement of a speculum to expose the cervix for trans cervical placement of a telescope attached to a video camera system into the uterus. In order to visualize the walls of the endometrial cavity a distention media, generally normal saline, is used. Diagnostic flexible hysteroscopy can be performed quickly and comfortably in our office setting, however operative hysteroscopy to remove or treat any identified pathology such as a septum, polyps, fibroids or scarring generally requires ambulatory surgery center facilities for anesthesia and recovery.
Tubal reversals are performed as an outpatient procedure at the UF Health Florida Surgical Center. The procedure is done through a mini incision under magnification utilizing microsurgical techniques. The patient may start trying to conceive within 2-3 weeks of surgery. In select individuals, after a successful tubal reversal, cumulative pregnancy rates in the year following tubal reversal procedure are in the range of 50-80%.
Several clinical characteristics are associated with these high success rates for tubal reversal:
- Patient under 35 years of age
- Tubal length after tubal reversal greater than 4 cm
- Previous sterilization by Fallope ring, clip or Pomeroy type (method for most postpartum tubal sterilizations)
- Absence of associated pelvic pathology such as endometriosis, or pelvic scarring
- Absence of male factor infertility
- Regular menstrual cycles and prior children
- Tubal reversal is often not covered by insurance. Please call our Financial Counselors for our package pricing.
Fertility may be compromised by the presence of myomas (fibroids) distorting, pressing or growing into, the uterine cavity. These mostly benign tumors may need to be resected while minimizing any potential harm to the uterus by laparoscopy or hysteroscopy or via an open abdominal incision. UF Health reproductive medicine physicians are experts in the surgical management of myomas in women with fertility concerns.
Resources & Links
- American Society for Reproductive Medicine
- Endometriosis Association
- Fertile Hope
- National Institute of Child Health and Human Development
- Polycystic Ovarian Syndrome Association
- Reproductive Facts
- Society for Assisted Reproductive Technology
News & Media Releases
- 3 Commonly Used Medications to Treat Unexplained Infertility
- The miracle makers
- Celiac disease and infertility: Is there a link?
- Pesticides And Sperm Quality: Can They Make Men Infertile?
- Researchers find new fertility drug to be more effective than one used for the past 40 years
- UF Health Shands Hospital first academic health facility in Florida to receive national Baby-Friendly designation
- Researchers uncover genetic and hormonal origins behind the evolution of sex organs
- Medical specialty one-stop shop at new UF&Shands at Springhill practice in northwest Gainesville