Female Infertility — Diagnostic Laparoscopy: treatment in the Best Hospitals of Germany
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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 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 high quality medical services in the area of its competence. The department's specialists provide highly effective infertility treatment using the very latest medical advances. The department employs an experienced multidisciplinary team of doctors consisting of reproductive specialists, endocrinologists, gynecologists, andrologists, geneticists, biologists, nutritionists and psychologists. With over 30 years of clinical experience, the department's medical team cures infertility even in cases which are considered hopeless in many medical centers around the world. The department is distinguished by its exceptional competence in the field of in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI). The department's doctors pay special attention to the psychological aspect, since infertility often causes depression and apathy in women. Therefore, the department's competent psychologists work with patients. In addition, the department's doctors are always ready for personal communication with their patients, which favorably affect treatment outcomes. The main task of the doctors of the medical facility is to help women to сonceive a child and give her the joy of motherhood.
Laparoscopic surgery is widely used in developed countries. Open surgery was almost completely replaced by laparoscopic one. Laparoscopy is less invasive. This surgical procedure is better tolerated, gives less complications and does not cause significant blood loss. It is more effective, since a laparoscope provides the doctor with a much better imaging of the intervention area. The diagnostic laparoscopy is often used in gynecology. It allows the doctor to determine some causes of infertility.
Why do doctors perform laparoscopy?
Laparoscopy is a surgical procedure, and therefore it is performed only in extreme cases, when it is really impossible to avoid this examination. Laparoscopy is very informative in the diagnostics of infertility, since it allows the doctor to examine the pelvic cavity from the inside. The doctor can detect the following pathologies using a laparoscope:
- endometrial foci;
- benign ovarian neoplasms;
- uterine fibroids;
- pelvic adhesions;
- other anatomical disorders leading to decreased fertility.
How is laparoscopy performed?
The operation is performed under general anesthesia. The doctor makes minimal incisions, through which a laparoscope and miniature but very long surgical instruments are inserted into the abdominal cavity. The doctor can control them remotely.
The gynecologist controls all his actions with the help of laparoscopic camera. It transmits the image to the monitor in real time mode.
During diagnostic laparoscopy, the doctor performs a revision of the pelvic organs. He examines the ovaries, fallopian tubes. The doctor often discovers adhesions. These connective tissues usually cause infertility, as they impair fallopian tube patency. Dissection of adhesions or other manipulations help to restore fertility.
If diagnostic laparoscopy is performed in infertility, in most cases it will be immediately transformed into the therapeutic one. The doctor performs the manipulations necessary to restore the reproductive function in woman. These may include:
- dissection of adhesions;
- reconstruction of fallopian tubes;
- cauterization or removal of endometrial foci;
- removal of benign ovarian formations;
- removal of uterine fibroids.
Results
In most cases, the result of a laparoscopy is the restoration of fertility in woman. She can get pregnant naturally, without the use of assisted reproductive technologies.
Laparoscopy is mostly performed due to tubal obstruction. This infertility factor is called tubal-peritoneal. Laparoscopy involves the dissection of adhesions and reconstruction of the fallopian. This operation is becoming more effective. It allows the doctor to restore the anatomical patency of the tubes in almost all patients. More than 30% of them get pregnant within 3 months after the procedure. About 70% of women get pregnant within 12 months.
Infertility persists in remaining 30% of cases. This occurs either due to the presence of additional factors, which impair fertility, or due to insufficient restoration of the tubal function. Although their anatomical patency is restored, the functioning may be impaired. The cause may be the destruction of fimbriae or the deterioration of peristalsis (movements of the muscle layer of the tube, which ensures the movement of the egg towards the uterus).
The results of surgical intervention can be both permanent and temporary. Sometimes adhesions occur repeatedly after some time. If endometrial foci were removed during laparoscopy, the results are almost always temporary. Without hormonal treatment, they occur again. Therefore, women after laparoscopy are recommended to get pregnant as soon as possible.
Benefits of laparoscopy in Germany
As of today, gynecology in Germany can no longer be imagined without laparoscopic interventions, which are performed for diagnostic and therapeutic purposes. The similar operations are already carried out around the world. Laparoscopy is performed even in countries with poorly developed medicine, including for the treatment of infertility.
For the patients who are not constrained in terms of finances, it is better to visit Germany in order to undergo this procedure. Laparoscopy has the following benefits in this country:
- Safety. An inexperienced doctor may make mistakes during laparoscopy. They lead to injury of the internal organs by surgical instruments. The complications can be quite serious. In the best Fertility Centers in Germany, laparoscopy is carried out by experienced specialists who are fluent in laparoscopic technique.
- Effectiveness. In most cases, the fertility in women will be restored due to state-of-the-art equipment and the use of the most modern types of operations in Germany. While the treatment in the clinics of developing countries is sometimes unsuccessful, the patient cannot get pregnant even after surgery.
- Comfort. Most patients find it important not only to have good diagnostic and treatment results, but they also want to benefit from the process itself. Modern medicine is becoming less and less uncomfortable. Foremost, this concerns such developed countries as Germany. In this country, you will be provided with good medical care, well-performed pain management during the postoperative period. The patient rooms have excellent conditions for the patients.
In Germany, you can not only undergo diagnostic laparoscopy, but also take advantage of other medical advances. The effective treatment methods of infertility, as well as the assisted reproductive technologies are used here. In the vast majority of cases, various treatment methods allow the patients to achieve a desired pregnancy even in the most seemingly hopeless cases.
Diagnostic laparoscopy in Germany with Booking Health
To undergo the diagnostic laparoscopy in Germany at one of the best German clinics, you can use the services of the Booking Health company. We will take care of all organizational issues, while you will just focus on your health. We provide the following benefits:
- Selection of the best Fertility Сenter, which specializes in the treatment of female infertility in Germany using laparoscopic surgery.
- Reduced cost of procedure in Germany due to the lack of coefficients for foreign patients.
- Establishment of communication with an attending physician.
- Booking an appointment for diagnostic laparoscopy in Germany at the most convenient dates for you.
- Preparation of the program taking into account the results of previous diagnostic procedures.
- Monitoring of the program at all its stages.
- Control of invoices and return of unspent funds.
- Communication with the hospital upon diagnostic laparoscopy completion.
- Buying and forwarding of medicines.
- Organization of additional examination or treatment.
The Booking Health company guarantees top-class service. We will book a hotel and airline tickets for you, provide a transfer from the airport to the Fertility Сenter and back.