How quickly does pregnancy occur after laparoscopy. Problems that are eliminated by the laparoscopic method

Sometimes doctors experience serious difficulties in diagnosing various disorders in the pelvic and abdominal cavity. In this case, laparoscopy is prescribed.

This operation is one of the most popular diagnostic and therapeutic procedures, aimed at the study and elimination of pathologies of internal organs.

What is laparoscopy and how to prepare for it?

This term is called a visual method that is used to examine the abdominal organs. During this procedure, the diagnosis and surgical treatment of gynecological pathologies is carried out.

With the help of laparoscopy, the doctor can examine the internal organs, and if necessary, perform a gentle surgical intervention to eliminate the detected pathologies. Laparoscopy is most often performed for the diagnosis and treatment of diseases, which are the causes of infertility.

Preparing for the operation

Before the operation, you need to go through a lot of examinations, including:

general urine and blood tests;
blood test for biochemical composition and coagulability;
electrocardiogram;
testing for HIV, hepatitis, syphilis;
smear from the vagina;
Ultrasound of the pelvic organs;
fluorography;
in the presence of chronic diseases, the conclusion of the therapist.

Operation process

During this procedure, the specialist performs three small punctures in the anterior abdominal wall. During laparoscopy, muscle tissue is not injured, and therefore patients practically do not experience pain. A small amount of inert gas is injected into a special tube - a trocar - with the help of which a volume is created in the abdominal cavity.

After that, a telescopic tube is inserted, to which a special video camera and a light source are connected. Micromanipulators are inserted through the remaining trocars, with the help of which the operation is performed. Laparoscopy is usually performed under general anesthesia. however, sometimes the operation is performed under local anesthesia, depending on the type of procedure.

Indications

Laparoscopy is performed for many gynecological pathologies, including:

Removal of tumors and ovarian cysts.
Removal of fibroids, tumors, uterine polyps.
Apoplexy of the ovary.
Removal of the uterus and its appendages.
Sterilization.
Supravaginal amputation of the uterus.
Restoration of patency of the fallopian tubes.
Removal of adhesions.
Removal of the fetal egg in case of ectopic pregnancy.
Diagnosis and treatment of endometriosis.
Diagnosis and treatment of polycystic ovaries.
Diagnosis and treatment of chronic pelvic pain.
Diagnosis and treatment of congenital pathologies of the uterus.
Diagnosis of causes of infertility.
Diagnosis of secondary amenorrhea.
Correction of the prolapse of the genital organs.
Preparation for in vitro fertilization.

Contraindications

In doing so, it should be taken into account that in some cases, laparoscopy is categorically contraindicated. These pathologies include:

Severe forms of pulmonary and cardiovascular diseases.
Marked exhaustion.
Violation of blood clotting.
Shock, coma.

In addition, laparoscopy is not recommended for various types of hernias. Do not do this operation and with viral infections. In case of infection, the procedure should be postponed for at least a month. Do not perform laparoscopy with high blood pressure, bronchial asthma, serious violations in the analysis.

How does the body behave after the operation?

Allocations

After the operation, small bloody or mucous discharge may be observed. This phenomenon may persist for one to two weeks. Such allocations are considered a variant of the norm. At the same time, abundant spotting should prompt a woman to immediately consult a doctor, because they indicate the presence of internal bleeding.

Period

There may be a delay in menstruation for several days or weeks after the operation. This is considered completely normal and should not be cause for concern. If after the specified period the cycle has not recovered, it is worth consulting with your doctor.

scars

The incisions that are made during laparoscopy heal fairly quickly without causing serious complications. The sutures are usually removed ten days after the operation. Purple scars of small sizes may remain on the skin for several months. However, later they brighten and become almost invisible.

Sex

Sexual relations can be resumed as early as one or two weeks after laparoscopy. However, before that, you should definitely discuss this issue with your doctor. This is especially true if the operation was performed for gynecological pathology.

Ovulation

This operation does not affect the ovulation process in any way. If you did not have problems before laparoscopy, then they should not arise after it. Problems with ovulation can be detected in women who suffer from infertility.

Pregnancy after laparoscopy

It takes very little time to recover after surgery: The patient is in the hospital for only one day. During this period, doctors monitor her condition and always conduct an ultrasound scan.

Pain after laparoscopy is very rare. The stitches do not cause any discomfort, and therefore painkillers are prescribed in exceptional cases. As a rule, such funds are required after complex operations.

Usually, treatment is not limited to laparoscopy. If the doctor prescribes any medications that affect the ability to conceive a child, he must determine the tactics of pregnancy planning. The chances of successful conception directly depend on the cause of infertility and the effectiveness of the therapy.

Many women ask themselves: How long does it take to get pregnant after laparoscopy? It is impossible to give a definite answer - it all depends on the individual characteristics of the patient's body.

As a rule, doctors advise start planning a pregnancy not earlier than three months after the operation. It is this period that the body needs in order to fully recover. During the first month after laparoscopy, it is imperative to refrain from sexual intercourse.

It is necessary to consult a doctor again if pregnancy has not occurred during the planning year. However, you should not tune in to a negative result, because in about 85% of cases, laparoscopy helps to conceive a child.

Diagnostic operation: all the details

The video tells clearly and in detail about how laparoscopy is done.

Many women at the planning stage of pregnancy have to face some problems. When everything is fine with health, you can limit yourself to undergoing an examination by specialists and standard testing. Difficulties with conception sometimes arise if a woman, shortly before the start of pregnancy planning, has undergone any disease or even surgery. But this is not always the cause of infertility.

Laparoscopy and indications for its implementation

One of the most common operations is laparoscopy. This type of surgery is considered quite young. In some cases, it successfully replaces abdominal operations. Laparoscopy is the most sparing method of surgical treatment of patients.

After such an intervention, pregnancy is possible. If there were no complications during the laparoscopy, this operation does not reduce the woman's chances of a successful conception or reduces them slightly.

Indications for laparoscopy are:

obstruction of the fallopian tubes
myoma
ectopic pregnancy
the presence of adhesions in the fallopian tubes
obstruction of the fallopian tubes
infertility
ovarian cyst

Laparoscopy can be performed not for therapeutic, but for diagnostic purposes. This occurs in cases where it is difficult for a doctor to make a correct diagnosis.

How laparoscopic surgery is performed

During the operation, the doctor inserts a laparoscope through small incisions. A laparoscope is a thin endoscope with a video camera attached to its end. Its diameter is only 5-10 millimeters.

The woman recovers quickly after the operation. The next day after the intervention, she can get up, eat, go to the toilet. The stitches are usually removed after a week.

After laparoscopy, you can not lift weights for about 3 weeks. Within 2 weeks, intimacy is contraindicated. For some time, a woman may experience bloody discharge from the vagina. This is the norm. If the discharge is observed for a month or more, you need to urgently make an appointment with the doctor.

Pregnancy after laparoscopy

After the operation, many women are very worried about the further onset of pregnancy. Experts give quite favorable forecasts on this score. By itself, laparoscopy cannot cause infertility. It practically does not affect the ability to conceive a baby, unless, of course, it is carried out successfully.

It may not be possible to get pregnant after laparoscopy only when the woman initially had some problems with reproductive function.

The medical statistics in this case are very encouraging. Of the total number of women who underwent laparoscopy, 20% are those who become pregnant within a month after the operation. Only 15% of women were unable to conceive a baby within a year. But doctors attribute this precisely to the gynecological problems that patients had before the operation.

When can you plan a pregnancy?

Many women are interested in the question of the timing of conception planning. Often they are looking for answers to their questions on the forums, they are interested in who and when became pregnant after laparoscopy, how successful the pregnancy was.

There is an opinion that after the operation you should refrain from trying to conceive a baby for several months. This is not always true. You can plan a pregnancy as early as a month after laparoscopy, if there are no contraindications for this. Doctors advise in this case to wait for the first menstruation and try to conceive a baby in the first cycle.

Before this, it is recommended to pass the necessary tests. It may take some time to pass the tests, but it is better to take your health responsibly. This will help to avoid the worst consequences in the future.

It is better to ask your doctor about which tests to take after laparoscopy and which examinations to undergo. Most often, doctors advise taking the following tests:

blood test for infections
general analysis of blood, urine
smear from the vagina for microflora
smear test for sexually transmitted diseases

This list can be expanded if the woman has health problems. In addition, it may be necessary to consult an endocrinologist with hormone tests, a consultation with a geneticist. The doctor may recommend that a man be examined.

Separately, it is worth highlighting those cases when laparoscopic surgery was performed on the fallopian tubes. After such operations, adhesions may form over time. To get pregnant without any problems, doctors advise such patients to undergo an examination and plan to conceive after the examination. Waiting for time in this case can only reduce the chances of successful fertilization.

How to get pregnant fast after laparoscopy

There are certain rules, following which you can get pregnant after laparoscopy fairly quickly. First of all, you should focus on your cycle. An accurate calculation of ovulation helps to significantly increase the chances of conception. For a quick pregnancy, you need:

stick to the cycle

Pregnancy occurs after the fusion of sperm and egg. The egg matures only once a month. On this day, the probability of fertilization is maximum. You can also plan conception a few days before ovulation and a day after its onset.

do not overdo it with lovemaking

Sperm activity with frequent ejaculation is significantly reduced. Many couples calculate the favorable period and make love several times a day to increase the chances of conception. You don't need to do this. It is enough to have sex every other day.

take vitamin preparations

For successful conception and disease prevention in an unborn child, it is recommended to start drinking folic acid and some vitamins already at the planning stage. It also helps improve the quality of male sperm.

avoid stressful situations

Smoking reduces the activity of spermatozoa and the ability of the egg to be fertilized.

lie on your back for 15 minutes after intercourse

Scientists conducted research and found that among those who became pregnant the first time, there were mostly women who, after intercourse, maintained a horizontal position for some time. After artificial insemination, doctors advise patients to lie on their backs. In this case, the sperm does not flow out of the vagina, which doubles the chances of successful fertilization.

don't think about pregnancy

It is known that even a psychological factor can become the cause of infertility. When a woman constantly thinks about the onset of pregnancy and this becomes the meaning of her life, there is a chance that she will not succeed. During stress, stress hormones are produced in the body. Changes in the hormonal background prevent the onset of fertilization.

No need to rush things. In healthy couples, pregnancy can occur within six months and this is completely normal. To accelerate its onset, you just need to digress from this topic. Perhaps it is worth going on vacation or a change of scenery.

lead a healthy lifestyle

To accelerate the onset of pregnancy, you should lead a healthy lifestyle. It is advisable to go to bed at the same time and sleep well. The same principles must be followed after conception.

see a doctor

If pregnancy has not occurred within six months of active attempts, it is worth visiting a gynecologist. The doctor will help to establish what exactly prevents conception. He may also prescribe some procedures that can help in solving the problem. These procedures include stimulation of ovulation.

Laparoscopy is considered a low-traumatic operation, it is used to treat infertility and a number of gynecological diseases. Pregnancy after laparoscopy is possible both as soon as possible after it, and a year after the operation. An important role in this is played by the nature of the previous disease and the success of its treatment.

What does laparoscopy do?

Unlike open-type abdominal operations, laparoscopy practically does not injure the internal organs of a woman. Often, this surgical intervention is performed in order to diagnose and identify the causes that prevent conception. In addition, the doctor has the opportunity to examine the condition of the uterus and ovaries, as well as determine the degree of patency of the fallopian tubes and identify the presence of possible pathologies.

Laparoscopy may be prescribed in cases where:

Endometriosis was discovered
revealed tumors, fibroids, polycystic ovaries and polyps
adhesions of the fallopian tubes are found
have an ectopic pregnancy
a diagnostic examination and treatment of infertility is necessary (the chances of becoming pregnant after laparoscopy increase many times)

If an ectopic pregnancy is detected, laparoscopic surgery allows the removal of the fetus from the fallopian tube (without its removal). It is very important to identify this pathology in the early stages, when it is possible to prevent the development of various complications and fully become pregnant in the future. Pregnancy after laparoscopy in this case is possible in the next few months, but when exactly it will be possible to conceive a child (get pregnant) should be discussed with the attending specialist (if necessary, you can also discuss with the doctor what recommendations should be followed).

How is laparoscopic surgery performed?

As we have said, laparoscopy can detect endometriosis, polycystic ovaries and many diseases that lead to infertility. Also, the operation allows you to prevent the possible growth of tumors, adhesions and neoplasms.

Timely identified ailments allow you to completely get rid of the disease, become pregnant and fully bear the fetus (the operation helped most patients restore normal ovulation, get rid of the effects of endometriosis, and also get rid of tube obstruction).

How long does a laparoscopy take and what is its essence? A trocar is inserted through the abdominal wall, with the help of which a certain volume of inert gas is introduced into the peritoneum (to ensure a better examination of the cavities). Then a video camera, a light source and special surgical instruments (manipulators) are inserted through small holes, using which the doctor performs various manipulations on the reproductive organs. Usually, this operation takes up to 1.5 hours. Also, laparoscopy is possible during pregnancy (the operation has helped many patients get rid of various diseases during gestation). As a rule, the patient is discharged from the hospital in a day.

Pregnancy after laparoscopy

Consider some types of operations, and how long after they are carried out, conception can be made.

may be prescribed by the attending physician for polycystic disease, as well as for the removal of growths in endometriosis. It is believed that it is quite complex in terms of technique. Therefore, pregnancy can be planned several months after the operation. Note that the functionality of the ovaries is restored within a week, after which it is recommended to take hormone-containing drugs.
Operation for obstruction of the fallopian tubes and removal of adhesions formed. After it is carried out, you can try to get pregnant in the first months (those patients who were prescribed an operation to remove the fallopian tube, conception can begin only 1.5-2 months after laparoscopy).

To whom the operation may be contraindicated? Laparoscopy is not performed with a strong increase in the myomatous tumor and if the uterus exceeds the size of the fetus in the first two months of pregnancy.

Advice: Cancer examinations should not be neglected, which allow timely detection of neoplasms and uterine tumors. This will prevent the development of cancer, as well as conceive and bear a child without complications.

What is the chance of conceiving a fetus after laparoscopy

Laparoscopy has helped many patients to conceive children and get rid of a number of diseases. Conventionally, patients can be divided into two groups: 1st - women who were able to become pregnant immediately after surgery (about 25% of patients) and up to six months; 2nd - patients who were helped by laparoscopy to carry out fertilization in the period from 6 to 12 months.

If pregnancy does not occur within a year (in 10% of all cases), then the operation can be re-scheduled (if the operation did not help to conceive a child within a year, then you should not be upset, since the probability of becoming pregnant after repeated laparoscopy is very high).

If pregnancy after laparoscopy has occurred within a few weeks, then it is necessary to be observed by the attending physician and take hormonal preparations that he will prescribe.

Video

Attention! The information on the site is presented by specialists, but is for informational purposes only and cannot be used for self-treatment. Be sure to consult a doctor!

After laparoscopy, pregnancy is quite possible, however, the time of its onset is individual and depends on many factors. Including the reason for the operation. In addition, the following factors play a role:

the presence of concomitant diseases;
the frequency of onset and the duration of the ovulation period;
how successful was the outcome of the surgical intervention;
duration of the postoperative period;
the age group to which the patient belongs.

Pregnancy is the dream of many women, but it is not always easy to achieve. In modern ecology, many gynecological diseases “get younger”, in these situations, it will not be possible to do without medical intervention.

What is laparoscopic surgery?
Laparoscopy is a universal operation that helps to solve many women's problems, including the problem of infertility (the probability of becoming pregnant increases many times). This is a technique of modern medicine that allows you to perform surgery using only three minor incisions. Thus, the organs on which the surgical intervention will be made available to the surgeon.

Judging by the numerous reviews of women who have undergone the procedure and subsequently become pregnant, the chances of conception increase. The operation has helped many people get pregnant.

The main essence of the operation

The laparoscopic instrument used to carry out the operation has a camera for shooting the operation process, special lighting. At the same time, other instruments used in the operation are introduced into adjacent holes.
To achieve more space, the abdominal cavity is filled with carbon dioxide, after which there is a significant increase in volume. The wall of the peritoneum, located in front, rises dome-shaped. The surgeon's maneuverability is increased.

Advantages and disadvantages

The obvious advantages of the procedure include the fact that the doctor perfectly sees all those organs to which he needs access: they are magnified many times on the screen. The specialist sees all the nuances that require attention. This allows you to more accurately and accurately perform the operation. Other advantages of laparoscopic surgery:

the loss of blood by the patient is very small;
diagnosis of the condition and treatment are carried out simultaneously;
organs are practically not injured;
the rehabilitation period is very short;
no pain (the only inconvenience is a feeling of fullness inside the abdomen, within 1-2 days, after laparoscopy);
in fact, there are no complications;
there are no noticeable scars in the laparoscopy area (only small stitches are present);
the possibility of adhesions is minimized;
Diagnosis and surgery occur in parallel.

Cons of such an operation:

the need for general anesthesia;
appropriately trained high-level specialists are able to carry out the operation;
in some cases - the lack of opportunities for surgery (large tumors, interventions aimed at manipulating the vascular tissue).

Examination of the patient before surgery

Before a woman is referred for surgery, she will be assigned studies to prepare, such as:

gynecological examination;
conducting general and biochemical studies of urine and blood;
research on infectious diseases;
taking smears;
conducting ultrasound of the necessary organ systems;
taking an electrocardiogram;
fluorographic examination;
determination of indicators of the husband's spermogram (with infertility).

Laparoscopic intervention is carried out with the onset of the initial stage of the cycle, at the end of menstruation (approximately a week later).

Who is the operation for?

To whom is the operation indicated? An emergency procedure is indicated in such cases:

attachment of the fetal egg outside the uterine cavity;
the occurrence of rupture or twisting of the ovarian cyst;
nodal torsion (if the patient has fibroids);
necrotic phenomena;
inflammation of the appendages, with the release of purulent masses.

Planned surgery is indicated for:

clarification of the reasons for the prolonged absence of menstruation;
frequent occurrence of pain in the pelvic region;
restoration of the functioning of the tubes of the uterus;
the need to remove the ovary or uterus;
various pathologies in the genital organs;
with adhesions of various etiologies;
with infertility (tubal);
polycystic;
with a variety of tumor processes inside the ovarian cavity (polycystosis), the formation of cysts;
for the procedure of clamping the tubes of the uterus;
tubal ligation, as a means of contraception.

When laparoscopy is not indicated

Laparoscopy has serious contraindications. It is forbidden to carry out the operation if:

diseases of blood vessels and heart muscle;
oncological lesions of the internal organs of the small pelvis;
cerebral hemorrhages;
hemophilic manifestations;
dysfunction of the liver and kidneys;
coma and shock states;
overweight of the patient;
detection of pathologies, in the process of research and as a result of analyzes;
chronic form of the inflammatory process in the appendages;
insufficient examination of the state of the reproductive system of spouses;
recent or ongoing sexual infections.

When is conception allowed? Will pregnancy occur after laparoscopy?

After completion of treatment, a natural question arises: when can I get pregnant after laparoscopy? Each patient has a different situation, respectively, the answer will be different, after what time and how to get pregnant after surgery. What is important is the diagnosis that caused it.

There may also be additional problems in the patient that prevent her from becoming pregnant. Also, no less important:

how did the laparoscopy go, did it cause any complications;
How was the recovery period?
whether there was ovulation before the intervention;
what is the age of the patient.

The diseases that occurred in a woman, due to which the operation was performed, directly affect the fact when it is possible to become pregnant after laparoscopy. It all depends on the reason for the surgical intervention, on the organ on which it was performed. For example, when removing fibroids, conception is allowed to be planned in a year. If a diagnostic operation was performed, then after 2-3 weeks, at the end of the recovery period, you can try to get pregnant.

Elimination of cysts

A considerable part of women are concerned about how long after laparoscopy it is possible to become pregnant if the operation was performed to remove the cyst.
Experts agree that there is no need to rush. It is better to wait 3 months, or even six months. After all, earlier conception can be accompanied by serious problems, since the hormonal background and the normal functioning of the ovaries have not yet been restored.

Elimination of polycystic

When is pregnancy possible after laparoscopy of the ovaries?
With polycystic syndrome, 3 methods of surgical intervention are used:

Numerous incisions in the ovarian membrane - cauterization.
Removal (partial) of the ovary, with a protein surface - a wedge-shaped resection technique.
Partial excision of the shell, at the site of compaction - decortication method.

Pregnancy with PCOS is planned as soon as possible. After all, conception is possible for only 1 year. A month after laparoscopy, it is no longer worth delaying planning.

With tubal infertility

When can I plan a pregnancy, with the elimination of adhesions of the uterine tubes? Experts recommend: after at least 3 months.
The fact is that the fallopian tubes are preserved for a long time after the excision of adhesions in them. In addition, the body needs a recovery period to regulate the normal functioning of the ovaries.
Is it possible to get pregnant immediately after the procedure and why do doctors not recommend it? Although the process of pregnancy directly depends on how much time has passed after the operation (the less, the higher the likelihood of conception), it should be borne in mind that swelling of the uterine tubes can trigger an ectopic pregnancy, the consequences of which will be negative.
Therefore, in order for a woman to become pregnant safely, you need to stock up on time: take oral contraceptives for 3 months, which give the ovaries a rest. After their cancellation, they will work in full force, then it will be possible to wait for the desired conception.

With an ectopic pregnancy

How to get pregnant quickly after a laparoscopy due to an ectopic pregnancy or miscarriage? Doctors answer unequivocally: not earlier than 6 months.
This time period is required to restore the disturbed hormonal background.

In case of endometriosis

Experts advise planning conception 3 months after the surgical procedure, although conception and gestation have a positive effect on endometriosis.
How long can you try to get pregnant? Conception is planned, with the end of hormone therapy.

When the patient has fibroids

It will be possible to plan a pregnancy after laparoscopy only after a long waiting period: about 8 months.
Such a long period of time is due to the need for high-quality scarring of tissues, and the ovaries also need rest.
During the recommended time, the patient should regularly undergo an ultrasound of the uterine cavity and take oral contraceptives.

Medical cases have been reported: if any of the women became pregnant after laparoscopy, without waiting for the time necessary for such a diagnosis, this provoked rupture of the uterus and its subsequent removal!

The main types of laparoscopy

Laparoscopic operations are divided into several types:

Diagnostic: examination of the internal organs located in the abdominal cavity using a manipulator. It is used if it is necessary to clarify the diagnosis, with an unclear etiology of the disease (for example, in the case when pregnancy does not occur, and the reasons for this have not been identified). Diagnosis, in such a situation, quite often develops into surgical intervention.
Operative: with the help of this type of operation, it is possible to solve almost any gynecological problem, for which surgical intervention is indicated. It is used to remove unwanted formations, or to correct malfunctions in the functioning of internal organs.
Control: assigned in order to establish whether the previous therapeutic effect had an effect.
Transvaginal hydrolaparoscopic surgery: recommended by specialists for various malfunctions of the pelvic organs (and to check patency, with infertility).

To whom is the procedure recommended? Each operation is assigned individually, depending on the goal. Laparoscopy is a separate operation, and can be combined with other types of surgical interventions.
When exposed to the vagina, the back wall is pierced with a thin needle, after which a special solution is injected into the peritoneal area, for better visibility and accessibility of organs to a specialist. At this time, a video camera is inserted into the vagina, the tubes and the uterine cavity, as well as the ovaries are examined.
In the process of transvaginal exposure, it turns out what is the degree of tubal patency. To do this, a special substance is introduced, and the doctor looks at how it is distributed and whether it enters the peritoneal cavity.
Transvaginal technique diagnoses the state of the female reproductive system, with absolute certainty. After it is carried out, the woman goes home the next day.
Unfortunately, there is a very significant drawback - this method is only diagnostic, it is impossible to eliminate the causes of diseases with its help, you will have to perform a second surgical intervention and administer anesthesia again, which may be undesirable.

Recovery period after surgery

After laparoscopy, the rehabilitation period is not too long.
You can eat on the day of surgery, but in small fractional portions. On the same evening, the patient can already get up and move around, but she is discharged no earlier than 3 days after the operation. If stitches were applied, they are removed after 7 days.
Pain in patients is usually absent (except for discomfort from distension of the abdomen).
Lifting weights and intense sports, for 3 weeks, are unacceptable. Sexual life begins a month after the intervention.

The period of preparation for pregnancy

Laparoscopy in gynecology is prescribed to many patients. But to increase the likelihood of conception and eliminate risks, the doctor prescribes studies:

regular gynecological examinations;
passing research (for biochemistry and sugar);
PCR studies for the presence of genital infections;
smears;
elimination of hormonal disorders;
establishment of hormonal status;
visiting a geneticist;

If you need a deep and thorough examination, it will be recommended by the attending physician.
If a woman is going to conceive a child, she needs to follow the following recommendations:

3 months before pregnancy, start taking folic acid;
healthy lifestyle (walks and sports);
normalize your diet, balance your diet;
eliminate possible stress;
have sex on the days of ovulation.

Pregnancy, childbirth

The laparoscopy performed and the pregnancy after it will pass without complications for the female body, if all medical instructions are followed.
If the patient cannot become pregnant, this is the result of her diagnosis. The operation is not associated with negative consequences, in most cases. Basically, the laparoscopy performed on the patient and pregnancy follow each other: the operation helps the long-awaited conception to occur.
Surgical intervention of this kind does not entail delivery by caesarean section, childbirth occurs naturally. However, if we are talking about surgery on the tissues of the uterus, a caesarean section is performed to avoid ruptures.

It is quite obvious that with a probable pregnancy later, it is favorable and even desirable for a woman. The operation contributes to a more favorable state of the body for conception.

Given the fact that for the sake of the desired pregnancy, a woman is ready to make any sacrifices, it is not surprising that an increasing number of patients undergo this operation every year.

The operation of laparoscopy is successfully used in surgery and gynecology. How does it affect a woman's ability to get pregnant - helps or creates obstacles? How many months after laparoscopy can I try to get pregnant and when does it really work? Pregnancy after laparoscopy is the most optimal time.

What is laparoscopy

Laparoscopy is a surgical intervention in the abdominal cavity, carried out with the help of endoscopic equipment. The operation is both diagnostic and therapeutic. Access to the abdominal cavity is a miniature incision, so the cosmetic defect on the skin will be minimal.

In modern medicine, laparoscopic operations are constantly being improved and are beginning to replace the classical ones, performed through a large laparotomy access.

Laparoscopy is performed using special equipment

Gynecological indications for surgery

Laparoscopy is very successfully carried out in gynecology. What are the indications for this procedure? In diagnostic terms, laparoscopy is used in the following situations:

suspected tubal pregnancy;
diagnosis of a cyst or tumor of the ovary, hydrosalpinx;
suspicion of extragenital endometriosis localized in the abdominal cavity;
anomalies in the development of the uterus and tubes, leading to primary infertility;
chronic pain in the small pelvis, not diagnosed by other means, including hysteroscopy;
the need to sterilize a woman by tying the fallopian tubes;
polycystic ovary syndrome;
difficult cases of uterine fibroids diagnosis.

Such an intervention can help resolve the issue of why a woman cannot get pregnant.

Laparoscopy can be transferred to a medical procedure if such a need arises during a diagnostic examination. What medical manipulations can be performed during gynecological laparoscopy:

dissection of adhesions between the tubes, ovaries, uterus;
elimination of ectopic pregnancy;
if necessary, removal of the fallopian tube;
removal of a cyst or tumor of the ovary;
removal of endometrial lesions;
removal of superficial myomatous nodes.

Various manipulations can be performed during laparoscopy

Laparoscopic operations can be planned - for the diagnosis or elimination of diseases that do not pose a threat to life. In case of tubal pregnancy or ovarian apoplexy, an emergency laparoscopy is performed.

Technique

Laparoscopic surgery is the examination and performance of certain manipulations in the abdominal cavity using endoscopic equipment. Gynecological laparoscopy is an examination of the pelvic cavity. The operation will require the following:

trocars for puncturing the abdominal wall;
laparoscopic apparatus, consisting of instrumental channels, a miniature camera and a light source;
needle and surgical suture material for suturing punctures.

Laparoscopy is performed in an operating room, in compliance with the rules of antiseptics. With the help of trocars, punctures are made in the abdominal cavity, through which instruments are inserted. The camera transmits the image to a screen placed above the operating table. Thanks to this, the surgeon can perform all manipulations with great accuracy.

During endoscopic surgery, the risk of infection of internal organs is minimized, since they come into contact only with medical instruments. With an open operation, air enters the wound, dressings and gloves touch the organs.

Cosmetic defects after laparoscopy are minimal

Blood loss is also minimized, since the surgical accesses are very small. The wound in the postoperative period practically does not hurt. The duration of the postoperative period is significantly shortened compared to open surgery.

What is the effect of laparoscopy

Laparoscopy and pregnancy - how are these concepts related? With the help of this operation, many diseases and conditions that prevent the occurrence of a physiological pregnancy can be eliminated. However, laparoscopy itself can cause secondary infertility. No matter how minimally invasive this operation may be, it still leads to tissue damage. As a result, adhesions can form, which change the correct position of the uterus and tubes.

Sometimes laparoscopy is performed during pregnancy - this is indicated for certain diseases of the abdominal cavity, for example, with a stomach ulcer or inflammation of the appendix. In this case, the surgeon will need to be extremely careful in carrying out manipulations so as not to damage the pregnant uterus.

There are a number of contraindications to laparoscopic surgery. Basically, they are taken into account when prescribing a planned surgical intervention:

decompensated pathology of the cardiovascular system;
hematomas in the brain;
pathology of the blood coagulation system;
renal and hepatic insufficiency in the stage of decompensation;
tumor processes in the pelvis with metastasis;
severe shock, coma;
the presence of acute infectious processes in the pelvic cavity;
unsatisfactory indicators of laboratory tests;
the degree of purity of the vagina is higher than the third.

When is pregnancy possible?

Is it possible to get pregnant after laparoscopy and after what time is it better to do it? Pregnancy can be planned immediately after laparoscopy. The concept of planning means preparing the female body to conceive and bear a child. What does it consist of:

elimination of chronic foci of infection from the body;
taking special vitamins with a high content of folic acid;
weight loss, if any.

It is possible to become pregnant immediately after the operation, but it is better for the woman's body to fully recover. The duration of pregnancy after laparoscopy depends on several factors and may be different:

the nature of the disease for which laparoscopy was performed;
volume of performed manipulations;
the state of the female body after surgery;
the state of the hormonal background;
the presence of complications after the operation.

After the elimination of gynecological diseases by surgery, as a rule, a course of hormonal therapy is required to restore reproductive ability. After laparoscopy, you can start preparing for pregnancy and while taking hormonal drugs.

The operation allows you to eliminate various gynecological diseases

What is the timing of pregnancy after different types of laparoscopic surgery?

Surgery to restore patency of the fallopian tubes will require a recovery period of at least three months. This is due to the inevitable damage to the wall of the fallopian tubes during manipulations and the formation of edema. It takes about a month for it to disappear. The same amount will be required to restore normal hormonal levels. After the first physiological cycle, a woman can become pregnant.
Removal of ovarian cysts and polycystic ovaries. Here, the period of onset of pregnancy can be extended up to six months. It takes time to restore normal ovarian tissue, then the woman undergoes hormone therapy using oral contraceptives. This allows the ovaries to fully recover and begin to produce hormones in a physiological rhythm.
After elimination of tubal pregnancy the next one can be planned no earlier than six months later. Approximately during this period, the wall of the fallopian tube is completely healed and its patency is restored. If pregnancy occurs earlier, there is a high risk of re-fixation of the fetal egg in the fallopian tube and its rupture.
Removal of endometrial lesions would require a woman to wait approximately three months before being allowed to become pregnant. This is necessary to track the dynamics of the disease and control the growth of new foci.
Uterine fibroids - the longest recovery period. It is approximately one year old. The wall of the uterus after removal of myomatous nodes should fully restore its elasticity and extensibility. In addition, a woman should undergo a course of hormone therapy and be regularly observed by a gynecologist to control the recurrence of the disease.

In general, the most optimal period of pregnancy after laparoscopy is the first six months after surgery. During this period, the probability of pregnancy is observed in 85% of women. The chances increase with the full preparation of the female body. When a woman becomes pregnant after laparoscopy, she needs regular monitoring by a gynecologist and the prevention of complications. In case of any threats of premature birth, inpatient treatment is prescribed, aimed at maintaining the pregnancy.