Fertility Problems

In some cases of infertility, a structural problem can be treated surgically, increasing the chances of natural conception.

For men, surgery can be used to try to reverse a vasectomy, correct blockage of the reproductive tract, or correct a varicocele (an enlarged vein in the scrotum).

For women, surgery can be used to try to correct a fallopian tube blockage, reverse a tubal ligation, or remove growths from the reproductive tract. Often a structural problem or endometriosis growths (implants) found during a diagnostic laparoscopy are surgically repaired during the same procedure.

Surgery Choices

To reverse a vasectomy or repair a varicocele

Vasectomy reversal, reconnecting of the tubes (vas deferens) that were cut during a vasectomy

Varicocele repair, cutting or bypassing of a vein that has expanded into a varicocele

To correct problems with the fallopian tubes

Fallopian tube procedures, including sterilization reversal

Should I have a tubal procedure or in vitro fertilization for tubal infertility?

To correct problems with endometriosis

Laparoscopic surgery for endometriosis

To correct problems with uterine fibroids

Myomectomy for uterine fibroids

To stimulate ovulation in women with polycystic ovary syndrome

Laparoscopic ovarian drilling, when weight loss and medicine have not stimulated ovulation

What To Think About

When considering a surgical infertility treatment, ask your doctor questions about the surgical procedure, including how many times the surgeon has performed the procedure, what your chances of treatment success are, and how long your recovery time will be.