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Role of surgery to optimise outcome of assisted conception treatments
Author(s) -
Suresh Yalanadu Narendra,
Narvekar Nitish
Publication year - 2013
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1111/tog.12006
Subject(s) - hydrosalpinx , medicine , psychological intervention , endometriosis , fertility , assisted reproductive technology , anxiety , gynecology , psychosocial , intensive care medicine , multidisciplinary approach , intervention (counseling) , infertility , obstetrics , pregnancy , nursing , psychiatry , population , sociology , social science , genetics , environmental health , biology
Key content Assisted conception technology such as in vitro fertilisation ( IVF ) is the first‐line treatment of many causes of female subfertility and surgery is offered primarily to optimise the outcome of such treatments. An awareness and understanding of the evidence about the different surgical interventions used prior to assisted conception is essential in achieving the best possible outcome.Learning objectives To assess the fertility needs of women including the need for surgery. To understand the role of different surgical interventions prior to assisted conception for the management of hydrosalpinx, uterine fibroids, uterine pathology such as a uterine septum and intrauterine adhesions, and the treatment of endometriosis and ovarian endometriomas.Ethical issues Women should be counselled about the benefits and risks of surgery including the risk of delay to their assisted conception. A sympathetic approach is needed for women who are already emotionally and physically stressed. There are financial implications involved in IVF treatment. Psychosocial issues and anxiety require a multidisciplinary approach.