Infertility surgery
Surgeries/Gynecology-Obstetrics/Infertility surgery

Infertility surgery

Procedures aimed at correcting the anatomical causes of infertility: fallopian tubes, uterine cavity, ovaries and pelvic lesions.

What is it?

Some difficulties in conceiving have an anatomical cause that can be treated surgically: polyps or septa of the uterine cavity, fibroids distorting the cavity, pelvic adhesions, damage to the fallopian tubes, ovarian cysts or endometriosis. Infertility surgery aims to correct these abnormalities in order to restore the best possible conditions for pregnancy. The procedures are performed using minimally invasive techniques: operative hysteroscopy treats abnormalities of the uterine cavity through the natural passages, without any incision; laparoscopy explores and treats the tubes, the ovaries and the pelvis through small incisions. These precise procedures respect the tissues as much as possible, an essential condition for preserving fertility. Surgery is always part of a complete fertility work-up for the couple, carried out with the gynecologist. Depending on the situation, it may be enough to allow a natural pregnancy or may optimally prepare for assisted reproductive treatment. At Clinique Pasteur Tunis, the gynecological surgeons support couples with attentiveness and discretion, explaining at each stage the expected benefits of surgery and its place in the overall pregnancy plan.
Infertility surgery

When is it indicated?

Polyp or septum of the uterine cavity

A small growth or a septum inside the uterus can hinder implantation of the embryo; removing them restores the cavity's natural shape.

Fibroid distorting the uterine cavity

When a fibroid distorts the inside of the uterus, it can prevent a pregnancy from taking hold; its removal restores favorable conditions.

Intrauterine or pelvic adhesions

Bands of tissue that have stuck together, often after an infection or an operation, can impair fertility; surgery releases them gently.

Damage to the fallopian tubes (blockage, hydrosalpinx)

Blocked or damaged tubes prevent the egg and sperm from meeting; surgery can treat them or optimally prepare for assisted reproduction.

Ovarian cysts interfering with ovarian function

Certain cysts disturb the proper functioning of the ovary; removing them carefully helps preserve ovulation.

Endometriosis associated with infertility

When endometriosis plays a part in the difficulty conceiving, its surgical treatment improves the prospects of pregnancy.

Preparation

1Complete fertility work-up for the couple beforehand
2Appropriate imaging: ultrasound, hysterosalpingography or MRI depending on the case
3Pre-operative consultations with the surgeon and the anesthesiologist
4Procedure scheduled according to the phase of the cycle if necessary
5Fast for 6 hours before the procedure

Procedure

1

Admission on the day of the procedure

2

General anesthesia in most cases

3

Operative hysteroscopy for abnormalities of the uterine cavity

4

Laparoscopy for the tubes, the ovaries and the pelvis if indicated

5

Precise treatment of the lesions while preserving the tissues

6

Monitoring in the recovery room, then return to the room

Duration

30 minutes to 2 hours depending on the procedures performed

Aftercare & Recovery

Recovery is generally straightforward, with a return home the same day or the following day and a rapid resumption of normal activities. After the procedure, the gynecologist reviews the prospects of pregnancy and the recommended timetable, in coordination with the couple's overall fertility work-up.

Risks and side effects

Minimally invasive procedures with a usually straightforward recovery
Light bleeding is possible for a few days after a hysteroscopy
Rare complications are prevented by the precision of the techniques and the team's experience

These risks remain rare. Your surgeon will inform you in detail before the procedure.

Request a Quote

Contact us to schedule a consultation or receive a personalized quote.

Request a Quote +216 36 402 000

At a glance

Duration: 30 minutes to 2 hours depending on the procedures performed
Preparation: Required
Dedicated specialist team