Female Infertility — Diagnostic Laparoscopy: treatment in the Best Hospitals in the World
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Department of Adult and Pediatric Gynecology, Mammology, Obstetrics
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics is included in the ranking of the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female reproductive system, breast pathologies. Also, the specialists of the department provide a comprehensive management of pregnancy, childbirth and postpartum care for both mother and child. Key attention is paid to the treatment of female genital cancers, as well as breast cancer treatment. For this purpose, the department has all the modern therapeutic techniques, as well as its our own innovative developments by the department doctors.
Department of Adult and Pediatric Gynecology, Mammology
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology ranks among the top German medical facilities in the fields of its specialization! The department offers all options of modern medicine for the diagnostics and treatment of diseases of the female reproductive organs and breast. Of particular interest is the treatment of cancers of the female reproductive organs and breast (certification of the German Cancer Society). In addition, the department's doctors have exceptional competence in the treatment of gynecological problems in children of all age groups, including surgical correction of congenital malformations of the reproductive organs. The department is proud of its outstanding treatment results achieved thanks to the professional skills of doctors and excellent technical base.
Department of Adult and Pediatric Gynecological Endocrinology, Reproductive Medicine
The Department of Adult and Pediatric Gynecological Endocrinology, Reproductive Medicine offers the full range of modern methods of treating hormonal disorders in women and girls, as well as fertility therapy. The department is one of the few in Germany that specializes in all types of artificial insemination. Important attention is paid to the treatment of endometriosis, which often leads to infertility, uterine fibroids. Also, the scope of tasks of the department’s specialists includes endoscopic procedures aimed at fertility treatment. The treatment concept is developed individually for each patient, taking into account the specific clinical indications.
Department of Adult and Pediatric Gynecology, Obstetrics and Mammology
According to the Focus magazine rating, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of services in these medical fields. In the field of gynecology, it provides the diagnostics and treatment of all pathologies of the female reproductive system, including the gynecological problems in girls aged from 0 to 18 years. The department's obstetricians provide quality care for expectant mothers before, during and after pregnancy. The department's scope of activities also includes the management of high-risk pregnancies. The key focus of clinical activities is the treatment of oncological diseases of the female genital organs, including breast cancer.
Department of Gynecology, Mammology and Obstetrics
The Department of Gynecology, Mammology and Obstetrics offers the full range of services in these fields, providing patients with the optimal treatment based on the very latest scientific advances and innovative technologies. The department's tasks include diagnostics and treatment of all gynecologic diseases and breast pathologies, as well as pregnancy management, childbirth and postnatal care for both mother and baby, elimination of fertility problems in women. The department has modern equipment for invasive and non-invasive diagnostics, three operating rooms equipped with state-of-the-art technology, especially in the field of minimally invasive and robot-assisted surgery, as well as special devices for microsurgery and fetal surgery. A competent medical team consisting of 18 senior physicians, 25 assistant physicians and medical specialists, obstetricians and specially trained nursing staff annually admits approximately 5,000 women for inpatient treatment and provides outpatient medical care for 14,000 patients. In addition, the department has four maternity rooms, in which about 2,000 babies are born annually.
Department of Adult and Pediatric Gynecology, Obstetrics
According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics ranks among the top German departments specializing in obstetrics! The department offers the full range of diagnostics and treatment of all gynecologic diseases in women and girls. The specialization includes surgical gynecology and gynecologic oncology, obstetrics and perinatal medicine, gynecological endocrinology and reproductive medicine. A special focus is made on the treatment of malignant tumors of the female reproductive organs, which is carried out within the Comprehensive Cancer Center Muenster. All the very latest and most effective treatment methods are available here.
University Hospital of Ludwig Maximilian University of Munich
Department of Reproductive Medicine
The Department of Reproductive Medicine offers the full range of modern diagnostic and therapeutic services in this area and is one of the largest medical facilities of this kind in Europe. The department’s main activities include the treatment of infertility and miscarriages using in vitro fertilization, intracytoplasmic sperm injection, blastocyst transfer, and the use of immunological methods. The doctors working at the medical facility also specialize in treating hormonal imbalances, including menstrual irregularities and polycystic ovary syndrome, which often interfere with pregnancy. The therapeutic offer is complemented by fertility preservation methods, such as egg and sperm cryopreservation. The department's doctors have all the necessary diagnostic options to detect the cause of infertility, which is the main condition for effective treatment. The department's medical team has vast clinical experience, and therefore the specialists successfully cope with even the most complex clinical cases, giving people the opportunity to become parents.
Department of Reproductive Medicine and Andrology
The Department of Reproductive Medicine and Andrology offers the full range of options for the diagnostics and treatment of infertility, hormonal disorders, reduced libido, including erectile dysfunction. The patients receive medical care from an experienced medical team, consisting of highly qualified gynecologists, endocrinologists, andrologists and experts in the field of reproductive medicine. A unique offer of the department is the cryopreservation of oocytes and spermatozoa for planning future pregnancy (for example, in case of somatic pathology or chemoradiotherapy).
Department of Adult and Pediatric Gynecological Endocrinology, Reproductive Medicine
The Department of Adult and Pediatric Gynecological Endocrinology, Reproductive Medicine offers the full range of diagnostic and therapeutic services in these fields. The department treats all patients with hormonal gynecological diseases. Another priority field is reproductive medicine with various in vitro fertilization (artificial insemination) techniques. Each clinical case is considered individually, after which the most effective treatment regimen is developed. Medical care is mainly provided on an outpatient basis.
Department of Reproductive Medicine
The Department of Reproductive Medicine offers the full range of diagnostic and therapeutic interventions for fertility treatment in men and women. The department's specialists have long successful experience, and therefore they effectively detect and eliminate the causes of infertility, and also provide high-quality medical care to couples with infertility of unknown origin. Particular focus is on in vitro fertilization (IVF), which today gives the highest chances of conceiving a child to couples who cannot achieve pregnancy naturally.
Department of Reproductive Medicine
The Department of Reproductive Medicine offers all the modern options for the diagnostics and treatment of infertility in men and women. The department has state-of-the-art equipment and techniques, such as intracytoplasmic morphologically selected sperm injection (IMSI), CASA computer system, Polscope technology, embryoscopy and many others. The department's reproductologists regularly demonstrate excellent results in IVF procedure.
Department of Gynecology, Gynecologic Oncology, Urogynecology, Mammology and Obstetrics
The Department of Gynecology, Gynecologic Oncology, Urogynecology, Mammology and Obstetrics offers high-quality diagnostics and treatment of diseases of the female genitalia, breast, as well as pelvic organ prolapse and urinary incontinence. In addition, the department's competence includes the provision of comprehensive obstetric services for the management of pregnancy, childbirth and postpartum care. More than 1,300 babies are born in the department every year. The department is part of a certified Cancer Center, and therefore it has all the necessary resources to effectively treat oncological diseases of the female reproductive system. The treatment of malignancies of the female genital organs and breast is of particular interest to the department's doctors. The work of specialists is based on an individual approach to each patient and on the use of modern sparing therapeutic methods to restore women's health. Cancer patients are offered support of professional psychologists, while gynecologists devote a sufficient amount of time to personal communication with patients, which has a positive impact on the treatment process
Department of Reproductive Medicine
The Department of Reproductive Medicine offers the full range of modern methods for the diagnostics and treatment of infertility. The department's medical team specializes in fertility treatment in women and men. The couples with genetic pathologies in the family history are offered preimplantation genetic diagnosis, which helps to exclude genetic abnormalities in the embryo prior to its transfer to the uterine cavity. The department demonstrates excellent success rates in infertility treatment – pregnancy occurs in 65% of cases. Such a figure exceeds the average success rate of fertility treatment in the world, which contributes to the prestige and huge credit of trust in patients from Turkey and other countries.
Department of Reproductive Medicine
The Department of Reproductive Medicine provides the high-quality performance of all modern procedures for the treatment of infertility in men and women. The department's specialists have excellent skills in the field of their competence and successfully cope with such complex clinical cases as recurrent pregnancy loss, the consequences of unsuccessful IVF procedures, pregnancy planning in women over the age of 35. The department's service range also includes preimplantation genetic diagnosis for the exclusion of genetic pathologies in a child. The fertility doctors manage to achieve pregnancy in more than 65% of cases, which is much higher than the average number in the world. Thus, the department has won a solid reputation not only in Turkey, but also in the developed European countries.
Department of Reproductive Medicine
The Department of Reproductive Medicine offers the full range of top-class medical services for patients with fertility disorders. The primary specialization of the medical facility is in vitro fertilization, which helps women to achieve the desired pregnancy. As of today, the department has earned an impeccable reputation not only in Turkey but throughout the world. The department pioneered the use of such techniques as surgical sperm retrieval and microinjection, embryo freezing procedures, endometrial cell cultivation and preimplantation genetic diagnostics in Turkey. Thanks to the professional treatment of infertility, more than 10,000 babies were born within the walls of the hospital.
Department of Reproductive Medicine
The Department of Reproductive Medicine offers the full range of assisted reproductive technologies for the treatment of female and male infertility. The department is annually visited by more than 1,300 couples, while most of them receive the long-awaited opportunity to be parents. The department specializes in in vitro fertilization (IVF), which is currently one of the most effective assisted reproductive technologies. The fertility doctors also perform procedures for fertility preservation in patients undergoing cancer treatment. The department demonstrates high success rates in fertility treatment, which compete with the best reproductive clinics in the world.
Laparoscopy is a surgical procedure, which allows the doctor to examine the abdominal cavity from the inside. It can be therapeutic or diagnostic. The diagnostic laparoscopy is often used in infertility. It allows the doctor to find out its reasons. Sometimes diagnostic laparoscopy is transformed into the therapeutic one, because if the doctor detects the factors of impaired fertility, he can immediately eliminate them.
What is diagnostic laparoscopy?
Laparoscopy is a minimally invasive procedure, which involves the insertion of a laparoscope and surgical instruments into the abdominal cavity. This is done through small incisions on the anterior abdominal wall.
The laparoscope is equipped with a video camera. It transmits the image to the monitor. As a result, the doctor has the opportunity to see the pelvic cavity from the inside. He is able to assess the condition of the fallopian tubes, detect foci of endometriosis or uterine fibroids, pelvic adhesions and other problems, which lead to decreased fertility and prevent pregnancy.
Laparoscopic surgery is increasingly used in developed countries. Open surgery in gynecology is used very rarely. The advantages of laparoscopic surgery are obvious. These include minor injury rate, low risk of complications, good aesthetic effect. There is no prolonged recovery, large scars on the body after this procedure. The postoperative period is not dangerous and is well tolerated by a woman.
When is the diagnostic laparoscopy in infertility required?
Infertility may have a wide variety of causes. One of the factors of impaired fertility is the tubal-peritoneal one.
The pelvic cavity of a woman includes the uterus with appendages. The appendages are the fallopian tubes and ovaries. The egg should enter the uterus from the ovary, but for this purpose it should pass through the tube. If it is obstructed, the pregnancy will not occur.
The impaired reproductive function of tubal or peritoneal origin can be determined even without laparoscopy. For this purpose, the doctors carryout hysterosalpingography. This is an X-ray examination involving the retrograde injection of contrast medium into the uterus and tubes. In case of detected impairments, their causes are not always clear. They can be clarified using laparoscopy. Should they be detected, the doctor will immediately eliminate most of the causes.
A woman may have the following problems with fallopian tubes:
- formation of multiple adhesions in the pelvic cavity;
- tubal obstruction;
- impairment of their function, for example, as a result of the destruction of fimbriae (villi, which capture the egg);
- formation of endometrial foci.
The doctor can examine not only the tubes and peritoneum, but also assess the condition of the ovaries, detect uterine fibroids with its predominant location in the abdominal cavity.
Diagnostic and treatment laparoscopy
There is no practical sense to detect the problem during the operation, but not to eliminate it. Therefore, in most cases, diagnostic laparoscopy is immediately transformed into the therapeutic one. The doctor can perform many different manipulations using long, remote-controlled surgical instruments. He is able to perform the following manipulations:
- dissect adhesions, which violate the patency of the fallopian tubes;
- perform plastic reconstruction of the tube;
- remove ovarian formations;
- cauterise endometrial foci;
- remove uterine fibroids.
If possible, the doctor will eliminate all factors, which reduce fertility and prevent pregnancy. This is enough to restore reproductive function. After surgery and rehabilitation, many women can get pregnant naturally without drugs or assisted reproductive technologies.
Recovery after diagnostic laparoscopy
The reproductive function cannot restored immediately after surgery. The onset of pregnancy requires a certain period of rehabilitation. This time is necessary for the regeneration of damaged tissues during laparoscopy, for the restoration of menstrual cycle, tone and peristalsis of the fallopian tubes.
The patient should stay in the hospital for several days. The duration of the early recovery phase depends on the extent of the intervention performed. The modern hospitals abroad provide every woman with comprehensive care, well-performed anesthesia during the postoperative period. The doctors take measures to avoid complications and restore the function of the organs of the reproductive system faster.
The rehabilitation does not take much time. 30-40% of women get pregnant during the first three months after laparoscopy. In most cases, the operation can restore fertility, but if the reproductive function is still impaired, infertility can be treated using assisted reproductive technologies.
Diagnostic laparoscopy abroad
The diagnostic laparoscopy can be carried out abroad. The Booking Health company can help with this matter. We will organize your trip, make it more comfortable, inexpensive and effective. We provide the following benefits:
- Selection of the best hospital, which doctors specialize in laparoscopy in gynecological diseases and infertility.
- Reduced cost of the examination and follow-up treatment due to the lack of coefficients for foreign patients.
- Establishment of communication directly with your attending physician.
- Preparation of the medical program taking into account the results of previous examinations.
- Booking the diagnostic laparoscopy on the convenient date for you.
- Monitoring of all stages of the program.
- Control of invoices and return of unspent funds.
- Buying and forwarding of medicines.
- Communication with the hospital upon treatment completion.
- Organization of additional examinations.
The Booking Health company will provide top-class services. We will book a hotel for you, airline tickets, arrange a transfer from the airport to the hospital and back.