Surgical treatment

Removal of polyps/fibroids

Fibroids and polyps in the uterus can impair fertility and be a cause of infertility. Fibroids are benign muscle nodules in the uterine wall which, depending on their location and size, can make it difficult for a fertilized egg to implant or impair blood flow in the uterus. Polyps are mucosal growths that can also interfere with implantation or contribute to repeated miscarriages.

Fibroids and polyps are usually removed using a minimally invasive procedure called hysteroscopy, in which a special endoscope is inserted into the uterus through the vagina. There, polyps can be removed and fibroids that protrude into the uterine cavity can be removed. In some cases, laparoscopic surgery is necessary, especially for fibroids that are located deep within the uterine wall.

The removal of polyps and fibroids can significantly increase the chances of pregnancy, especially in cases of previously unexplained infertility or repeated miscarriages. Careful diagnosis prior to surgery is crucial in order to accurately determine the location, size, and number of growths. After the procedure, in many cases, the desire to have children can be actively pursued again.

Ovarian drilling

Ovarian drilling is a minimally invasive surgical procedure that is primarily used in women with polycystic ovary syndrome (PCOS). PCOS is a common cause of infertility, as it disrupts hormone balance and often prevents egg maturation.

During drilling, the ovaries are punctured or “drilled” using small incisions in the abdominal wall. This can improve hormonal regulation, reduce the production of male hormones (androgens), and stimulate egg maturation. After the procedure, natural ovulation can resume, increasing the chances of pregnancy.

The procedure is usually performed laparoscopically and is considered safe and gentle, as only minor changes are made to the tissue. Careful prior diagnosis is crucial to determine whether puncturing is medically advisable. In combination with hormone therapy or assisted reproduction techniques, ovarian puncturing can be an important step in successfully fulfilling the desire to have children in women with PCOS.