You are browsing content specific to your location, some treatments may not be available:


Laparoscopy surgery is an invasive diagnostic procedure that uses a telescopic camera system to visualize the abdominal organs such as bowel, liver, and reproductive organs such as the uterus, fallopian tubes, and ovaries.

Laparoscopy in Women with Infertility

Nowadays, laparoscopy is not done routinely in the infertility workup of female patients. It should be done when the previous examinations have shown:

  • A history of sexually transmitted disease with the risk of having intra-abdominal adhesions and infected tubes
  • An abnormal ultrasonographic finding that is suspicious and needs further analysis e.g. for endometriosis (tissue of the uterus-lining has implanted outside the uterus and forms cysts or scarring) or hydrosalpinx (tube filled with fluid)
  • Unexplainable pain in the lower abdomen

Laparoscopy should always be combined with a hysteroscopy to assess the uterine cavity.

Laparoscopy is also known as “key-hole” surgery and it is performed under general anesthesia. Through a small cut in the region of the belly button, a laparoscope will be inserted into the abdominal cavity and pelvis area and Carbon Dioxide (CO2) gas is introduced. If further laparoscopic surgery is required, additional small incisions may be made and a variety of instruments can be inserted to perform diagnostic and corrective surgery.

After the operation, most experience symptoms that could last for several days. The symptoms are tiredness, mild nausea and pain around incision sites, abdominal pain or cramps, tenderness, shoulder pain, and abdominal bloating as well as a small amount of vaginal discharge or bleeding.

Laparoscopy should be avoided if not necessary as there might be complications, even if the risks are low. The risk of serious complications is less than 1% especially if the laparoscopy is performed by a highly trained fertility surgeon.

Complications associated with laparoscopy include the possibility of damage to other organs in the abdominal cavity and/or the pelvis such as bladder, uterus, ureter, bowel, and blood vessels. Unnecessary interventions on the uterus or the ovaries should be avoided as they could even decrease the chance of pregnancy or increase the risks during pregnancy.

What are the advantages of the laparoscopic approach?

Laparoscopy involves small incisions with far less postoperative discomfort and a rapid recovery time, with less adhesion formation and markedly reduced hospital stay compared to conventional open surgery.

Types of treatment related to this article

In Vitro Fertilization (IVF)

In Vitro Fertilization (IVF)

IVF means in vitro fertilization.  In vitro means in the laboratory ( outside the body)  and fertilization refers to conception (joining of a woman’s egg and a

Learn More

Intra-Cytoplasmic Sperm Injection (ICSI)

Intra-Cytoplasmic Sperm Injection (ICSI)

Intracytoplasmic sperm injection (ICSI) is a technique developed to overcome male infertility attributed to impaired semen quality.  ICSI is one of the most

Learn More


Preimplantation Genetic Testing for Structural Rearrangements (PGT-SR)

PGT-SR is a genetic test for detecting inherited chromosomal structural rearrangements in embryos prior to their transfer and enhancing the chance of a

Learn More

we are here to help

We are here to help you