Which conditions affecting your fertility can be treated with surgery?
Blocked fallopian tubes
If you have only slight scarring or a reversible blockage of the tubes and your clinic has the expertise, a type of surgery (salpingostomy) may be offered. This is where the blocked outer end of the tube is opened using keyhole surgery (a laparoscopy) or an open abdominal operation.
Find out more about laparoscopy on the NHS Choices website.
Adhesions on the ovaries
If the ovaries are covered in fine adhesions from previous pelvic inflammation, eggs in the ovaries have no access to the open end of the fallopian tubes which means you won’t be able to get pregnant. It may be possible to remove all the adhesions (salpingo-oophorolysis) using keyhole surgery.
Polycystic ovary syndrome (PCOS)
Some women with PCOS will receive drug treatment but it’s also possible to have surgery. The advantage of having surgery is that it does not increase your risk of having a multiple birth.
Find out more about the risks of a multiple birth
In a procedure called ovarian drilling, a heated needle (electrodiathermy) is used to destroy some of the extra follicles (the sacs in which eggs develop) which are producing an excess of male hormones.
If during keyhole surgery you’re found to have a few tiny deposits of the ovaries and pelvic ligaments, these may be destroyed at the time with a heated needle (electrodiathermy).
If the endometriosis is more extensive, you may be offered further surgery where the endometriotic tissue is removed, usually through microsurgery or by laser surgery.
Removal of fibroids
It’s possible to shrink large fibroids with drugs taken over a long period of time. However it is generally felt that significant fibroids thought to affect your fertility should be surgically removed. This can be achieved with keyhole or open surgery.
If you have had large fibroids removed, leaving several scars in the uterus, you’ll be recommended to have a caesarean section when giving birth.