Laparoscopy performed at CRHG Surgical Center in Beverly Hills by Dr. Sam Najmabadi to get a clear view of the abdominal and pelvic organs including the uterus, fallopian tubes, and ovaries. Because this procedure is more invasive, it is not the first step in a fertility work-up. It may follow other tests, such as Hysterosalpingogram, ovarian reserve screening, or semen analysis when more detailed analysis is needed to determine the cause of female infertility.
The Laparoscopy Procedure
During laparoscopy, which is usually performed under general anesthesia, a telescope-like instrument is inserted through a small incision at the belly button into the abdomen. The abdomen is then inflated with carbon dioxide to allow full visualization of the pelvic organs. One or two small incisions are made along the lower abdomen where graspers can be inserted to visualize the entire abdominal cavity. Dye can be injected through the cervix and uterus to evaluate function and patency, and the fallopian tubes are inspected to ensure there are no blockages or abnormalities. Video and photographs are taken during the procedure to record findings, and in some cases the doctor may be able to repair irregularities during laparoscopy rather than making a larger incision. Pelvic adhesion can be identified and removed if needed, uterine fibroids, ovarian cysts, endometriosis and ectopic pregnancies can be also treated .
Once the procedure is complete, the abdomen is deflated and the incisions are stitched closed. Recovery time for laparoscopy is usually about one hour. Recovery at home may range from 2-7 days.