Learn more about fertility surgery options at TFC – San Antonio

As part of your fertility evaluation, one of our San Antonio fertility surgeons will determine whether you have a need for fertility surgery to improve your chances of pregnancy.

A basic fertility evaluation will include a medical history, a physical examination, a transvaginal ultrasound, an HSG or a saline sonogram and blood work. During the evaluation, your fertility specialist will look for signs of abnormalities, including fibroids, polyps, Mullerian anomalies (developmental abnormalities of the uterus and/or fallopian tubes), endometriosis, pelvic adhesions and ovarian cysts. The type of fertility surgery that is best for you will depend on what your fertility specialist finds during the evaluation.

Understanding the types of fertility surgery

Our San Antonio fertility surgeons are highly trained and experienced in performing a variety of fertility surgery techniques. Each type of surgery is slightly different and designed to treat specific types of fertility issues.

Hysteroscopy is a surgery that involves placing a surgical telescope called a hysteroscope into the uterine cavity through the vagina and cervix. When performed without laparoscopy, hysteroscopy can be performed under IV sedation. Once the hysteroscope has been introduced into the uterus, one of our San Antonio fertility surgeons can view and treat polyps, fibroids, uterine septum and intrauterine adhesions. Most women can resume normal activity the day after undergoing a hysteroscopy.
Laparoscopy is an outpatient procedure that involves inserting a small surgical telescope into the pelvis through very small incisions in the abdomen. If abnormalities are identified, such as endometriosis, ovarian cysts, uterine fibroids or pelvic adhesions, then additional surgical instruments can be inserted into the abdomen to treat the problem. Most patients can return to work within two to three days following a laparoscopy.
Laparotomy is a surgical approach that requires a larger (six to 10 cm) incision across the lower abdomen. It is commonly performed in order to remove large uterine fibroids or to treat conditions that are not amenable to laparoscopic correction. Most patients stay in the surgery center or hospital overnight. They then can return to work in one to two weeks following a laparotomy. A complete recovery may take as long as four to six weeks.

Experience and compassion make all the difference

When you’re considering fertility surgery, you want to ensure that you select a surgeon who has the knowledge and experience to treat your fertility issues. Our San Antonio fertility surgeons have extensive training in surgical techniques and their skills have helped many patients conceive and become parents.

Meet Our Fertility Specialists