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Reproductive Surgery

Reproductive Surgery

For many couples, infertility is a fact of life. If you've had trouble conceiving after one year of unprotected intercourse (if you're 35 or younger) or after six months if you're over 35, you should see a fertility doctor. Once he or she has performed various tests to determine if infertility is the cause of being unable to conceive, a course of therapy or treatments will be recommended.

There are many causes of infertility, from low sperm count to being extremely overweight. Often, the woman or man has a blockage of scar tissue from an injury or disease, which prevents conception or carrying the baby to term. Other women have an abnormally shaped uterus and need surgery to repair it. In these cases, reproductive surgery is often the only choice for a chance at conceiving a child.

In men, varicose veins in the scrotum can cause problems conceiving. In women, endometriosis is a common culprit, and surgery is necessary to remove excess scar tissue. Sometimes, an earlier infection in the fallopian tubes or scrotum can cause a buildup of scar tissue to form. Often, these conditions can be treated with minimally invasive treatments such as a mini laparoscopy, where a small incision is made under the belly button and a camera is inserted. If a woman has fibroids, which are small benign tumors in the fallopian tubes, a doctor can also perform a laparoscopy or hysteroscopy to easily remove them.

Sometimes, a person or couple makes a decision not to have any more children. Men will undergo a vasectomy, while women will opt for a tubal ligation. It's not uncommon for someone to change his or her mind afterwards, which is why many surgeons are skilled in reversing vasectomies and tubal ligations. While this procedure is not always successful, in a lot of cases it allows for a normal, healthy pregnancy.

Fortunately, most reproductive surgeries are much less invasive than they were in the past, and the down time is drastically shorter. However, there are still risks involved such as infection or excess bleeding. If anesthesia is used, there is a small risk of death. Some health insurance companies will cover the costs of reproductive surgeries, while others will view them as elective and you'll have to pay out of pocket. Check with your insurance company to determine if your reproductive surgery will be paid for by your health care policy.


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