Diagnostic Hystero-Laparoscopy

At Eva IVF & Women’s Centre, we prioritize thorough and precise diagnostic procedures to uncover the underlying causes of infertility. Diagnostic Hystero-Laparoscopy is a combined minimally invasive surgical procedure that allows direct visualization of both the uterus and pelvic organs to detect and treat conditions affecting fertility.
This technique is particularly beneficial for women with unexplained infertility, recurrent miscarriages, or suspected pelvic abnormalities. By offering both diagnostic and therapeutic solutions, hystero-laparoscopy enhances the chances of natural conception or successful assisted reproduction.
This guide is specifically for women considering Diagnostic Hystero-Laparoscopy as part of their fertility evaluation and treatment. We’ll walk you through the procedure, who needs it, success outcomes, and post-operative care to help you make an informed decision.

What is Diagnostic Hystero-Laparoscopy, and Who Needs It?

Diagnostic Hystero-Laparoscopy is a combined procedure involving:
Hysteroscopy: A thin camera is inserted into the uterus via the cervix to examine the uterine cavity.
Laparoscopy: A small incision is made near the navel to insert a laparoscope for viewing the pelvic organs – ovaries, fallopian tubes, and uterus.

Who Should Consider Diagnostic Hystero-Laparoscopy?

✔ Women with Unexplained Infertility (Normal test results but still unable to conceive)
✔ Women with Recurrent Pregnancy Loss (To rule out uterine abnormalities)
✔ Women Suspected of Having Endometriosis or Pelvic Adhesions
✔ Women with Irregular Periods or Severe Menstrual Pain
✔ Women with Fibroids, Polyps, or Uterine Septum Detected on Imaging
✔ Women Planning IVF/IUI Who Need Pelvic Assessment

💡 This procedure offers both diagnosis and immediate treatment, enhancing fertility outcomes.

How Does Diagnostic Hystero-Laparoscopy Work? (Step-by-Step Process)

1. Preoperative Evaluation
✔ General health assessment and pelvic ultrasound.
✔ Pre-surgical instructions and fasting guidelines are given.
2. General Anesthesia & Surgical Setup
✔ The procedure is performed under short general anesthesia.
✔ Two small incisions are made near the belly button, one for the laparoscope and another one for surgical instruments.
3. Laparoscopy – Abdominal & Pelvic Evaluation
✔ The uterus, fallopian tubes, ovaries, and pelvic cavity were examined and dye test (Chromopertubation) may be performed to assess fallopian tube patency.
✔ Treatment of adhesions, endometriosis, cysts, or fibroids (if required) is done in the same sitting.
4. Hysteroscopy – Uterine Cavity Assessment
✔ A hysteroscope is inserted through the cervix to assess:
• Endometrial lining
• Uterine septum or polyps
• Fibroids protruding into the cavity
✔ Any findings can be treated during the same procedure (operative hysteroscopy).

💡 Combining laparoscopy and hysteroscopy provides a complete internal view and allows immediate correction of issues affecting fertility.

Conditions Diagnosed & Treated During Hystero-Laparoscopy

✔ Endometriosis
✔ Tubal Blockage or Hydrosalpinx
✔ Pelvic Adhesions
✔ Uterine Septum, Fibroids, or Polyps
✔ Ovarian Cysts or PCOS-related Morphology
✔ Chronic Pelvic Inflammatory Disease (PID)

💡 Treating these conditions during the same procedure improves natural conception and ART outcomes.

Benefits of Diagnostic Hystero-Laparoscopy – Why Choose This Procedure?

🌟 Accurate Diagnosis of Hidden Pelvic & Uterine Conditions
🌟 Simultaneous Treatment During Diagnostic Procedure
🌟 Improves Success Rates of IUI and IVF
🌟 Minimally Invasive with Quick Recovery Time
🌟 Safe Day-Care Procedure – Discharge on the Same Day

💡 For many women, this procedure is the turning point in their fertility journey.

Success Outcomes of Hystero-Laparoscopy

✔ Up to 60-70% of women conceive naturally within 6-12 months post-procedure (if correctable factors are treated).
✔ IVF and IUI success rates improve significantly after removing uterine polyps, fibroids, or clearing adhesions.
✔ High diagnostic accuracy compared to ultrasound or HSG (Hysterosalpingogram).

💡 Diagnostic Hystero-Laparoscopy not only reveals underlying issues but also resolves them in a single session.

Post-Treatment Care – What to Expect After the Procedure?

✔ Discharged the Same Day
Most patients resume daily activities within 2-3 days.
✔ Mild Cramps, Spotting, or Shoulder Pain
Common and temporary.
✔ Avoid Intercourse for 7 Days
Or until your doctor gives clearance.
✔ Follow-Up Visit Within a Week
To discuss results and plan the next steps.
✔ Try for Natural Conception
Or proceed with ART (IUI/IVF) as advised.

💡 Most women report minimal discomfort and quick recovery after hystero-laparoscopy.

Who is NOT Suitable for Hystero-Laparoscopy?

❌ Women with Active Pelvic Infections
❌ Severe Heart or Lung Disease That Prevents Anesthesia
❌ Uncontrolled Coagulation Disorders

Why Choose Eva IVF & Women’s Centre for Diagnostic Hystero-Laparoscopy?

🌟 Expert Laparoscopic Surgeons & Fertility Specialists
🌟 Advanced Equipment for High-Precision Pelvic Evaluation
🌟 Safe, Effective & Minimally Invasive Treatment

We are committed to diagnosing and resolving fertility issues in a single, minimally invasive session – giving you the best chance at conception.



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