Your infertility specialist may recommend laparoscopy to diagnose and treat endometriosis. Laparoscopy is a relatively non-invasive procedure, especially in the diagnostic phase of your infertility treatment. It can be a lot more invasive, and can be considered a major surgery when it is used to treat endometriosis.



To perform a laparoscopic procedure, your doctor will make a small incision near your navel. Your abdomen will be filled with carbon dioxide to inflate it. This allows the doctor to then insert the laparoscope and inspect your reproductive organs and abdominal cavity. The inflation gives the doctor plenty of room to look around. Your body may be tilted back during the procedure so that your intestines and other organs will shift higher up into your body. This gives the surgeon a more clear view of your reproductive organs.

The laparoscope itself is like a tiny, long telescope. It projects a light into your body so that the surgeon can look around. Your doctor may need to make a second incision near your pubic bone to insert other surgical tools. Endometriosis may be quite visible, but sometimes it is not visible to the naked eye. Your surgeon may take biopsies of tissue from your body during the laparoscopic procedure. The tissues will be examined under a microscope to confirm or deny the presence of endometriosis.

Endometriosis is a condition that causes the endometrium, normally lining your uterus, to grow outside of the uterus and attach itself to surrounding structures and organs. Adhesions and scar tissue can form inside of your abdominal and pelvic regions, causing a lot of pain, discomfort and fertility problems. Endometriosis can be mild and may not be discovered until a laparoscopic procedure is performed. If endometriosis affects your ovaries or fallopian tubes, then it can keep eggs from passing through to your uterus for implantation. Endometriosis is a progressive condition and can get worse over time.

Symptoms of endometriosis include abnormally heavy bleeding during menstruation, extremely painful menstrual cramps that last for days, back pain, painful intercourse, urination or defecation. These symptoms can be very similar to other infections or disorders. Therefore, endometriosis may be overlooked until infertility is a concern.

If endometriosis is discovered, your infertility specialist can use laparoscopy as part of the surgical treatment. A pelvis afflicted by endometriosis can also include adhesions, cysts, scar tissue and endometrial implants. Your surgeon will attempt to remove endometrial implants, drain cysts, separate and loosen adhesions and scar tissue. Laser treatment may be used to cut away adhesions, scar tissue and cysts.

Laparoscopy used to treat endometriosis is considered a major surgical procedure, but because of the small incisions made and the state of the art techniques used, there is generally a fast recovery with minimal discomfort after the procedure. Talk to your doctor and discover if treatment can help you be on your way to fertility.