Availability gynecological diseases may interfere with pregnancy. One of alternative ways return reproductive function is a laparoscopic operation. It is carried out by the latest technology considered the least traumatic surgical intervention.
The essence of the operation
Female infertility is one of the main indications for laparoscopy. The operation is performed under general anesthesia. IN abdominal wall an instrument is introduced that fills the abdomen with carbon dioxide and a laparoscope equipped with a camera and illumination. Gas inflates abdominal cavity.
The position and condition of organs can be traced on the monitor screen. One a puncture in the abdomen do in the navel, the other two - in the ovarian region. The procedure usually takes 30 to 90 minutes. With the help of laparoscopy, diseases such as:
- Endometriosis
- Adhesion process.
- Cystic formations.
- Myoma.
- Ectopic pregnancy.
- Obstruction of pipes.
- Polycystic.
During the procedure, the problem found is eliminated. This allows a woman to have the opportunity to become a mother. The advantage of laparoscopy is minimal trauma tissue and the absence of noticeable scars after surgery.
When can you get pregnant?
Many women are interested in the question of when to return to after laparoscopy. IN this case much depends on the diagnosis.
ON A NOTE! During the "rest" period, experts recommend taking oral monophasic contraceptives. They not only protect against untimely pregnancy, but also provide an opportunity to rest the ovaries and restore hormonal background.
With polycystic ovary
PCOS is a disease in which the possibility of pregnancy is reduced to zero. Each menstrual cycle, multiple follicles mature in the ovaries.
IN healthy body women by the end of the cycle should be formed dominant follicle... In the presence of a disease, there are several of them. However, none of them ovulate. This is due to the thick walls of the ovary, which does not release. For this reason, conception becomes impossible.
During laparoscopy, incisions are made on the walls of the ovaries. This promotes implementation in the first cycles after the operation. In some cases, laparoscopy is repeated. Treatment for polycystic disease involves pregnancy in the first months after surgical intervention... The fact is that the reproductive function of the ovaries in this case lasts no more than a year.
IMPORTANT! During polycystic disease, there may be delays or complete absence menstruation.
After laparoscopy of the fallopian tubes
Impossibility of conception may have a cause in the form of obstruction of the fallopian tubes. In such a situation, the ovum does not enter the uterine cavity, but is attached in the tube. This threatens the occurrence of an ectopic pregnancy. During surgery, the adhesions on the tubes are cut. After these manipulations, pregnancy becomes possible.
After the procedure, you will need postoperative recovery, since at first there will be swelling on the pipes, which will subside no earlier than in a month. experts usually allow in 3 months so that the body has time to rest.
With endometriosis
Endometriosis is characterized by proliferation in areas not intended for this. Sometimes not only the uterus is affected, but also nearby organs.
A woman diagnosed with endometriosis may have spotting in the middle menstrual cycle... And also there may be a slight sipping sensation in the lower abdomen.
It is not possible to diagnose the disease using ultrasound monitoring. with such a deviation, it grows insufficiently. That is why when fetal egg enters the uterus, he has nowhere to attach.
During laparoscopy, the lesions of the disease are eliminated. Sometimes, along with the operation, a reception is shown hormonal drugs ... After the procedure, it becomes much easier for a woman to get pregnant. allowed in 3 months.
After uterine fibroids
Myoma is a mass in the uterus that occurs under the influence hormonal changes, heredity or surgery. With fibroids, a woman notices the appearance of causeless bloody discharge. With the help of special tools, the specialist removes the formation, trying not to damage other organs.
After laparoscopy, it is necessary refrain from conceiving for 6-8 months... In case of pregnancy ahead of schedule, rupture of the uterus along the scar is possible, which leads to its complete removal.
REFERENCE! During the recovery period, regular ultrasound of the uterus is recommended to monitor the healing process and the condition of the scars.
After removal of cystic formations
There are several varieties cystic formations. Functional cyst can occur every cycle during. It is the result of an overgrown dominant follicle... Such a cyst resolves on its own with the arrival of menstruation.
But there are cysts that do not shrink, but increase in size. Laparoscopic surgery can stop education and provide a woman with the opportunity to experience the joy of motherhood. After removal of the ovarian cyst, conception should be abandoned for a period from 3 to 6 months.
With an ectopic pregnancy
Ectopic pregnancy is a pathological phenomenon that, if complications are present, can be fatal. It is characterized by the attachment of the ovum in the wrong place.
As the unborn child grows, pressure is exerted on nearby organs. Arise bloody issues and discomfort lower abdomen. To establish this phenomenon the analysis of the results of hCG is carried out in dynamics and ultrasound procedure... There are several types of ectopic pregnancy:
A couple of decades ago, holding some gynecological operations could permanently deprive a woman of the possibility of pregnancy in the future. But thanks to modern technologies medicine has stepped forward and surgical intervention for many diseases is minimized (instead of abdominal surgery laparoscopy is used). Pregnancy after laparoscopy occurs at the same time as in healthy women... If there are certain indications, then this procedure can be carried out even during the period of gestation.
Indications for laparoscopy
Laparoscopy is a fairly common surgical technique used to treat some gynecological diseases. The main indications for this operation are:
- uterine fibroids;
- ectopic pregnancy;
- obstruction of the fallopian tubes;
- endometriosis;
- adhesions of the fallopian tubes;
- diagnosis and treatment of infertility;
- ovarian cyst requiring removal;
- polycystic ovary disease.
How long after the operation can I get pregnant?
The answer to this question directly depends on the diagnosis. When treating some diseases, you should refrain from planning pregnancy for a while, and there are cases when conception is possible only in a certain period after this procedure. Let's consider each option separately.
If laparoscopy of the fallopian tubes was performed
In case of separation of adhesions, you need to try to get pregnant in the next cycle. You will have the best chances in the first three months after surgery. But when removing one of the tubes with attempts to conceive, you should wait at least 4-6 weeks from the moment of intervention. You can get more precise advice on when to get pregnant from your doctor. Compliance with his recommendations will allow you to avoid various kinds of complications.
The use of laparoscopy in operations on the fallopian tubes allows you to cut adhesions and eliminate obstruction fallopian tubes without having to remove them. This allows you to preserve the woman's reproductive capacity and give her the opportunity to become pregnant in the future.
If laparoscopy of the ovaries was performed
This procedure is usually performed when it is necessary to remove cysts, as well as in the treatment of endometriosis and polycystic disease. The ovaries regain their function in just a few days. The operation is quite complicated, so it is better to plan pregnancy after ovarian laparoscopy under the supervision of a gynecologist. If conception occurs within a few months, you may need to use medications to maintain normal hormonal levels.
If laparoscopy of uterine fibroids was performed
This operation is very effective in the treatment of various malformations of the uterus, including fibroids. The method is very effective, but it is not carried out in the following cases:
- availability a large number myomatous nodes;
- strong increase in nodes;
- low location of nodes;
- the size of the uterus exceeding the size of the fetus at 11-12 weeks of gestation.
After such an operation, you should also wait a few weeks before trying to get pregnant.
Laparoscopy and ectopic pregnancy
Laparoscopy for ectopic pregnancy allows you to gently remove the ovum from the fallopian tube without removing the tube itself. Than used to be a woman learns about her situation, the more chances she has to avoid serious complications from this pregnancy. A timely detected disease will help to carry out timely surgical intervention, which will preserve the ability of the reproductive system of the body. You can find out when it will be possible to get pregnant again only with your doctor after the operation, since everything will depend on your condition.
Laparoscopy as a method of infertility treatment
This intervention is one of the most effective methods modern treatment infertility. Pregnancy after laparoscopy occurs in 85% of women within a year from the date of surgery. Thanks to this procedure, it is possible to establish the exact cause of infertility, and in some cases, solve it in the process of surgical intervention. Using laparoscopy:
- ovulation is restored;
- the normal working capacity of the ovaries is regulated;
- adhesions are separated;
- benign or malignant formations are removed.
After eliminating the cause, a woman is more likely to become pregnant in the near future.
When can pregnancy be planned and what is its likelihood?
Most often, pregnancy occurs within a year after the operation. Attempts to conceive can be made within 4-6 weeks after this method of surgery, since the body recovers quickly enough. About 20% of women become pregnant immediately. The same number manages to conceive a child within 3-5 months. For 30%, attempts take about 6-8 months. Another 15% start preparing for motherhood within a year.
And only 15% of women fail to conceive a baby in 12 months. And if the operation being performed was associated with the treatment of infertility, for example, with the separation of adhesions, then the woman remains likely to become pregnant after the second procedure. In the case when conception occurs in the first months after laparoscopy, in the first weeks of gestation, you should be under constant medical supervision. You may be assigned various drugs to maintain normal hormonal levels.
Can laparoscopy be performed during pregnancy?
Laparoscopy is the most acceptable surgical method for pregnancy. In the case of this operation, the risk to the mother and the fetus is minimized. Most often it is carried out in the 2nd trimester, but if necessary, it can be done at any time.
During pregnancy, this procedure is carried out only for certain indications:
- benign ovarian cyst;
- torsion of the uterine appendages;
- myomatous node necrosis;
- acute appendicitis;
Possible complications
- Damage to the uterus during surgery. To avoid this complication surgical intervention is very often carried out under the supervision of ultrasound.
- Postoperative thromboembolism. To avoid this, women are advised to wear compression stockings.
- The risk of maternal hypoxia, tachycardia, pleurisy and hypertension. It is very important that the woman is supervised after the operation.
- Possibility of uterine rupture after surgery.
Childbirth after laparoscopy
Very often, after this operation, a pregnant woman is recommended to give birth by caesarean section... But there is no evidence that natural childbirth in this situation it is more dangerous. According to the research results, 38% of women gave birth after laparoscopy naturally without any rupture of the uterus.
The likelihood of getting pregnant after this procedure is exactly the same as that of healthy women. In some cases, it even increases the chances of success. Therefore, do not be afraid if the doctor prescribes this operation for you, you can give birth after it. This method surgical intervention is the safest and most effective for combating many gynecological diseases.
Nowadays, laparoscopic operations are widely used to treat all kinds of diseases of the reproductive and reproductive systems of a woman, and also act as an advanced method that allows you to eliminate some of the causes of female infertility.
Treatment laparoscopy 
Recovery
neoplasms in pregnant women Doppler sonography is performed using ultrasound of a pregnant woman
Gynecological examination with ultrasound Important after childbirth
Until the opening of this surgical method therapy, no doctor would prescribe a woman in the position of an operation if there is no direct threat to her life. On the this moment pregnancy after laparoscopy is very common.
Features of the "interesting position" after the operation
Almost all women are concerned about the question of when it is possible to plan a pregnancy after a laparoscopy. Experts give quite favorable forecasts:
- this operation cannot cause a woman's infertility, it does not affect the ability to conceive, if, of course, it was performed successfully;
- pregnancy with laparoscopy and hysteroscopy done can be planned in a month, if there are no contraindications, it is advisable to wait for the first menstrual cycle and immediately try to conceive a child;
- pregnancy does not occur only when a woman initially has any problems with the reproductive system;
- according to statistics, of all women who underwent surgery, 20% are those who have pregnancy after laparoscopy within a month, only 15% of the total have not been able to conceive within a year;
- if you are planning a pregnancy later than a laparoscopy of endometriosis, it is necessary to pass all tests before this (this may take some time, but it is better to take own health with all responsibility to avoid serious consequences).
Treatment of a woman's reproductive system
What tests should be taken when planning a pregnancy after a while as a result of laparoscopy - you need to ask your doctor. As a rule, all doctors prescribe the following types analyzes.
- Blood for infections.
- General analysis of blood and urine.
- A smear on the state of microflora from the vagina.
- Sexually transmitted disease smear.
This list can be much wider if a woman has health problems. Additionally, the following can be assigned:
- consultation with an endocrinologist;
- hormone tests;
- consultation with a geneticist;
- examination of a man.
Separately, it is worth highlighting those cases when pregnancy is planned after surgery with one tube. Here the formation of adhesions takes place. In order for conception to pass without problems, doctors recommend that such patients go through full examination... Banal waiting in this case will only reduce the chances of successful conception.
There are some rules that will help get pregnant as a result of ovarian laparoscopy quickly enough. For this it is necessary.
- Strictly adhere to the menstrual cycle - the probability of conception is maximum a few days before ovulation and after a day. You can calculate the day of ovulation using a calendar, but it is better to use special tests.
- Engage " creative process»Every other day - frequent ejaculations significantly reduce the likelihood of conception, as sperm activity decreases.
- Take multivitamin complexes - reception is indicated folic acid and some vitamins during pregnancy planning. It also significantly improves sperm quality.
- Avoid stress.
- Avoid Cigarettes - Smoking reduces sperm activity and the egg's ability to fertilize.
- After love games lie on your back for 20 minutes - according to studies, those women who managed to get pregnant the first time kept a horizontal position for a certain period of time. This way, sperm does not leak out of the vagina, which increases the chances of a successful conception.
- Not thinking about pregnancy all the time - it is known that the reason for unsuccessful attempts can be psychological factor... When a woman always thinks only about conception, it becomes her obsession - then nothing will work out. During experiences, stress hormones are produced, and changes in hormonal levels make fertilization difficult.
- Visit a doctor - if conception does not occur within a year of active attempts, you need to see a specialist. The doctor will identify the cause and prescribe necessary procedures to help resolve the problem. This also includes the stimulation of ovulation.
Study
After tubal surgery
This type of surgical intervention allows you to restore the structure of the fallopian tubes, remove adhesions. The operation can be prescribed as an independent study, or as part of a set of other procedures, for example, hysteroscopy.
According to the reviews of women, pregnancy after surgery on the fallopian tubes occurs within 5-6 months.
Pregnancy after laparoscopy will be successful if the following procedures are followed:
- magnetotherapy;
- electrophoresis;
- laser therapy;
- the most difficult cases require IVF.
This type of laparoscopy allows you to operate on an ectopic pregnancy, when, due to the adhesions in the fallopian tubes, the fetus does not attach to the walls of the uterus, but remains in the tube and develops there. This leads to rupture and bleeding.
Planning for pregnancy after this operation depends on the type of pathology that has been diagnosed.
- If the operation was performed in order to remove and separate the adhesions in the fallopian tubes, conception can be planned 5 months after the intervention of the surgeon.
- If the operation was performed in order to remove adhesions in the small pelvis, then conception is recommended no earlier than 1 month after menstruation.
- If the operation was performed to remove fibroids, it is forbidden to plan conception within 8 months. All this period should be protected.
- After the elimination of endometriotic tissues, you will need additional treatment... Conception can be planned only on the recommendation of a specialist.
Laparoscopy after an ectopic pregnancy allows you to bring your period back to normal, which means it increases the chances of a successful conception. If pregnancy is absent for a year after surgery for obstruction of labor, IVF is recommended.
After ovarian surgery
Every woman who plans a pregnancy after a laparoscopy of the ovaries with polycystic disease should know that after removing the cyst, the most important thing is to prevent the formation of adhesions in the small pelvis. This operation reduces this probability to zero, which cannot be said about abdominal surgery.
Pregnancy after a laparoscopy of an ovarian cyst has a number of features:
- conception can be planned no earlier than 6 months after the operation, it all depends on the severity of the disease;
- if adhesions or cysts were removed, you can proceed to conception a month after rehabilitation, as a rule, a long-awaited pregnancy occurs within six months;
- 85% of patients left positive reviews about this operation, since the recovery process does not take much time, and the ability to conceive and endure healthy child increases.
Why conception does not occur
According to the reviews of most women, pregnancy after surgery occurs in the coming months. It is also worth noting that after surgery, a woman is closely examined by a gynecologist, there is a possibility of hospitalization for more careful observation. Moreover, after the operation, medications can be prescribed to restore and maintain hormonal levels.
However, there are cases when conception did not occur after this operation. Let us consider in more detail why pregnancy does not occur after laparoscopy.
| Cause | Remedy |
| 1. All foci of the disease have not been eliminated | Re-conduct the surgery. |
| 2. Failure to comply with the doctor's recommendations | Once again come to an appointment with a specialist to clarify the appointment, and then follow it clearly. |
| 3. State of depression | Support positive mood find a reason for joy. When a woman is cheerful and in tune positive emotions- the body heals itself and helps to eliminate all foci of the disease. |
| 4. There is no belief in a positive result | According to psychologists, in order to accelerate the onset of the desired result - the onset of pregnancy, it is necessary to more often imagine yourself as a mother. That is why you should tune in to the positive, fantasize and imagine yourself as happy parents. |
The use of folk recipes
Douching with alder root infusion:
- take dried alder root - 3 tbsp. spoons, 1 liter of water;
- to boil water;
- grind the grass with a coffee grinder;
- place the resulting powder in a thermos;
- pour boiling water;
- leave for 10 hours;
- cool to body temperature;
- strain.
Application.
- Do douching with the resulting infusion.
- Perform the procedure before bedtime.
- The course of therapy is 21 days.
- Take a break for a week.
- Repeat course.
- Upon availability adhesive processes it is necessary to conduct at least 5 courses.
Dill and parsley decoction:
- take 1 tbsp. a spoonful of chopped dried herb of dill and parsley, 1 liter of water;
- to boil water;
- reduce heat;
- pour herbs into boiling water;
- simmer for another 15 minutes over low heat;
- pour the resulting broth into a thermos;
- insist for a day;
- strain.
Application.
- Drink throughout the day in small sips.
- The course of therapy is from 2 months.
Consider a few reviews of women, one of whom became pregnant after laparoscopy of the endometrioid ovarian cyst.
Alesya Tikhonova:
My husband and I dreamed about a baby for a long time - more than 3 years. Passed a lot of examinations, analyzes, consultations. The problem was in me. Diagnosed with polycystic ovary syndrome. The doctor prescribed stimulation for me. The first course did not give results, and the planned ultrasound scan revealed an endometriotic ovarian cyst. I was immediately given a referral for laparoscopy. 6 months after the operation, I saw the cherished 2 stripes!
Margarita Terekhova:
My first pregnancy was ectopic. I suspected something was wrong when bloody discharge started and my stomach ached badly. The doctor immediately referred me to laparoscopy. There was no choice since given diagnosis very serious and demanded urgent action. Everything was done promptly and painlessly. However, a week after laparoscopy, an ectopic pregnancy appeared brown discharge... The gynecologist said that this can be as residual, so there is no need to worry. After 3 days everything went away, and a year later I again found out that I was pregnant.
For the treatment of problems of reproductive female genital organs, gynecologists use a common method - laparoscopy. He is the most merciful of the existing ones. Let us consider further in the article whether pregnancy is possible after carrying out such manipulations.
Laparoscopy is performed, including in the presence of diseases, pathologies of the reproductive system that prevent pregnancy.
Laparoscopy is an operation during which several punctures are performed in the patient's abdomen. Dimensions are on average no more than 7 mm. The doctor then inserts a device called a laparoscope, which is a flexible tube with a video camera and a large system lens.
Thus, the doctor through the monitor has the ability to observe organs that are inaccessible with systemic gynecological examination... The procedure allows you not only to detect the problem, but also to quickly resolve it.
After the study, stitches are applied to the puncture sites, which heal very quickly, practically without changing the woman's previous lifestyle.
Is it possible to get pregnant
Some women consider the operation to be the cause of infertility. This procedure does not affect the reproductive organs in any way, if it was performed correctly, and the patient herself followed the instructions of the specialist. Difficulties with conception, as a rule, arise when a woman has some pathology with the functioning of the reproductive organs.
According to statistics, after laparoscopy, out of 100 women, pregnancy occurred in 20, and literally in the first, second cycles. 65 girls out of 100 conceived a child within 9-12 months, but the reason for this was not the procedure performed, but the presence of certain diseases.
After laparoscopy of the fallopian tubes
Laparoscopy of the fallopian tubes, including restoring their structure and partially getting rid of some adhesions. Doctors say that pregnancy after surgery occurs within the first seven months, subject to certain additional procedures:
- magnetotherapy;
- electrophoresis;
- laser therapy.
It is possible to speak about planning motherhood after the operation in the ostomy case, if the operation has eliminated the source of problems, and the body has fully recovered. In the event that the procedure was performed with the aim of removing sutures from the fallopian tubes, conception is possible after 5 months.
After diagnostic laparoscopy
If there is no definite indication for surgery, diagnostic laparoscopy is often performed. The indication for implementation is the suspicion of the following pathologies:
- tubal pregnancy;
- extragenital endometriosis;
- primary infertility (due to abnormal development of the uterus and tubes);
- infertility of unexplained (no reason) genesis;
- polycystic ovary disease.
Also, the operation is performed to diagnose the following ailments:
- cyst;
- ovarian tumor;
- chronic pain;
- uterine fibroids.
After carrying out the manipulation, it is possible to answer one of the main questions of women experiencing difficulties in conception: for what reason it was not possible to get pregnant.
In addition, if during the procedure the doctor discovers the presence of pathology, he has the opportunity to immediately resolve the problem and perform treatment.
Chances of getting pregnant
There are chances of fertilization after the procedure, and they are significant. The main thing is to comply with all the instructions of specialists. More than half of women who have undergone the manipulation become pregnant within the first year after the manipulation.
Immediately
It will not work to get pregnant immediately after the procedure, the body needs time for rehabilitation. After two to three days after surgery, the woman is discharged home. A week later, her stitches are removed. The girl is worried about bursting pains in the lower abdomen, but they are short-lived.
For three weeks, you can not lift weights, play sports. You should abstain from sex for a month. At the time indicated by the doctor, you should see a gynecologist, pass the necessary tests, undergo examinations. Only then can a pregnancy be planned.
After some time with one pipe
There are chances of pregnancy after performing the manipulation, even if there is one fallopian tube. It is necessary to be monitored by a doctor and follow his instructions.
Planning a pregnancy after removing the pipe should be no earlier than six months later and strictly under the supervision of a doctor. It takes so much time for the walls of the fallopian tube to heal and the patency to be restored. If the pregnancy occurs earlier, there is a high probability of fixing the fetus in fallopian tube with its further break.
When is pregnancy most likely to occur?
To restore the reproductive capacity of a woman after performing laparoscopy, a course is required hormone therapy... At the end of it, the body needs at least three months to restore the reproductive organs. You can get pregnant on the recommendation of a doctor, and after fertilization, follow the regimen:
- eat right;
- to walk outside;
- consume enough vegetables and fruits;
- do not lift more than 5 kg of weight;
- avoid stress.
Does it help to get pregnant
During laparoscopy, the gynecologist removes pathological formations that prevent conception. Performing the manipulation does not mean that a woman will become 100% pregnant in the first cycle, she needs time for rehabilitation. However, if the doctor has done everything correctly, and the main reason for the difficulties in conception has been eliminated, the likelihood of pregnancy is high.
After laparoscopy, pregnancy occurs as soon as the body recovers, if there are no other reasons that prevent conception.
The operation is absolutely not dangerous to health. During manipulation, the likelihood of touching healthy organs is excluded. Recovery period takes a short time. Women who want to have a baby should definitely see a gynecologist on a regular basis.
Laparoscopy has become a popular method of treatment and diagnosis female diseases... Complications after such an intervention are extremely rare, and the indications for its use are extensive. However, laparoscopy is an operation and can have unpredictable effects on female body... How possible is pregnancy after laparoscopy, is it easy and when is it best to get pregnant after laparoscopy?
Laparoscopic operations are performed through micro-holes in the abdominal cavity using an apparatus called a laparoscope. The laparoscope is a very thin (5-10 mm) and flexible telescopic tube equipped with an optical system and illumination. This device is connected to a video camera that displays the organs being examined on a computer screen.
Laparoscopic operations are carried out only under general anesthesia, as they are accompanied by the injection of a special carbon dioxide into the abdominal cavity, which impedes spontaneous breathing.
Laparoscopy in gynecology
With laparoscopy, it is possible not only to diagnose various female pathologies (cysts, tubal obstruction, uterine tumors, ectopic pregnancy, infertility), but also to perform the simplest surgical interventions for some female pathologies. Often, the main goal of laparoscopy is to rid a woman of infertility. This usually works when:
- removal of the ovarian cyst;
- dissection of adhesions;
- removal of endometriotic nodes;
- restoration of pipe permeability;
- removal of myomatous formations;
- dissection of the ovarian membrane with polycystic.
Possible complications of laparoscopy
The minimal invasiveness of laparoscopy allows the patient to be discharged home in a few days. At the same time, the work of all systems of the woman is quickly getting better, and in a few days she can already return to work.
The absence of scars after surgery allows you to do without pain medications and return to your usual routine as quickly as possible.
The most common complications of laparoscopy are:
- traumatic vascular injury or internal organs(more often intestines);
- electric burns with perforation of internal organs and the development of peritonitis;
- subcutaneous emphysema due to exposure to carbon dioxide;
- intolerance to carbon dioxide by patients and the forced need to switch to conventional surgery;
- appearances infectious complications after unnoticed organ microtraumas.
However, complications after laparoscopy are much less common and less dangerous for patients than with conventional surgery. With this type of treatment, it always remains additional opportunity transition to direct surgery.
Mode after laparoscopy
For full recovery after laparoscopy, it usually takes 2-4 weeks. In the hospital, the woman will still feel discomfort after the operation and she should follow all the doctor's recommendations. The patient is treated with antiseptic stitches on a daily basis and the dressing is changed. Most often, a woman is discharged 4-6 days after surgery.
Sex is prohibited for 3-4 weeks after the study. This is important for the restoration of female internal organs. For the same period, it is necessary to exclude any sports activities. These methods physical limitation are mandatory due to the need to find abdominal at rest.
Of physical activity for one to two months, only walks are allowed. At this time, lifting of any weights is strictly prohibited. The maximum allowable severity for a woman after surgery should not exceed 3 kg for 2-3 months. After such a procedure, long travels, visits to saunas or baths, solariums, and swimming are also prohibited.
Menstruation after laparoscopy
Menstruation after a successfully performed laparoscopy occurs within a month. Normalization monthly cycle speaks of complete restoration of ovarian function and successful treatment.
The first few days (usually 2-3) after laparoscopic surgery, women usually have bloody or mucous discharge with clots. This is due to natural damage to the vessels of the reproductive organs. Then the discharge from the vagina lightens and becomes bloody. Slight discharge can be observed for up to three weeks, right up to the onset of menstruation.
A shift in menstruation for several days after the intervention is absolutely normal. Such a shift at the onset of menstruation can be up to 2-3 weeks. If menstruation does not appear during this time, the patient must be examined by a doctor.
The first menstrual period after laparoscopy may be longer, more abundant, or scanty. If there are no other adverse symptoms ( severe pain, temperature, deterioration of health), then there is no cause for concern.
Is it easy to get pregnant after laparoscopy?
Many women start planning after laparoscopy future pregnancy... Often it is because of problems with the onset of pregnancy that it is carried out.
It happens that women are worried that laparoscopy can lead them to infertility. However, a normally performed operation e affects the ability to conceive as positively as possible.
According to statistics, 20% of patients can become pregnant within a month after such an intervention. However, some women cannot get pregnant in the first year after laparoscopy. This is due to those gynecological problems that they had before the operation. The timing of pregnancy after such an operation depends on:
- the well-being of the performed laparoscopy;
- features postoperative period and the woman's observance of all restrictions;
- concomitant diseases of a woman;
- the presence of ovulation before laparotomy;
- age.
When is pregnancy possible after laparoscopy
Usually, doctors allow women to become pregnant a month after diagnostic laparoscopy... This is due to the need to give time to internal female organs fully recover from microtraumas.
However, if laparoscopy is performed for serious chronic diseases, this requires a longer period for full recovery.
About obstruction of pipes
If laparoscopy is performed for obstruction of the fallopian tubes, adhesions are usually dissected for this diagnosis. Subsequently, it is allowed to plan a pregnancy no earlier than 3 months after the manipulation. What is the reason for this? One month is needed to relieve swelling from the tubes and regulate normal function ovaries.
You can, of course, become pregnant immediately after laparoscopy. However, pregnancy in a situation while the ovaries are still edematous, hyperemic and are in a "state of shock", in most cases is pathological (ectopic).
After polycystic ovary
With polycystic disease, many small cysts form on the ovaries. With such a diagnosis, it is possible surgical treatment in three ways related different methods removal of the ovary with its capsule (decortication, wedge resection, cauterization). The peculiarity of pregnancy after the treatment of polycystic disease has one feature: conception in this situation remains only for a short time- usually no more than a year.
After removal of the cyst
Doctors advise against rushing into pregnancy after laparoscopy after removal of the cyst. This method of treatment allows you to remove the cyst in a very gentle way without damaging healthy tissue. After that, the interval before pregnancy is advised to be done at least 3 months, and preferably up to six months. All this time, the woman is also prescribed oral contraceptives to prevent pregnancy. This time is enough to rest the ovaries and restore hormonal levels at the same time.
If pregnancy occurs earlier than 3 months after the operation to remove the cyst, then it can proceed with problems, therefore it requires the maximum early production pregnant woman on the consulting account.
After an ectopic pregnancy
With an ectopic pregnancy, surgical treatment can occur in two ways: with the removal of the tube completely or with the hatching of the ovum with its preservation.
Regardless of the operation technique, after an ectopic pregnancy, it is strictly forbidden to become pregnant for 6 months. This is how much time is needed for the complete restoration of the body and its hormonal levels.
If in a woman an ectopic pregnancy has led to the removal of one tube, then such a patient must undergo a full examination before planning a pregnancy. This is necessary in order to save the remaining pipe and to make sure that it does not have pathological changes(adhesions, etc.).
After fibroids
Myoma of the uterus can be promptly cured with complete removal uterus (amputated) or with conservative myomectomy, when, after removal of the myomatous nodes, the female reproductive organ remains. If there is no uterus, then there will be no pregnancy.
If the uterus is still preserved after the treatment of fibroids, then after laparoscopic surgery it is recommended to wait about 6-8 months before pregnancy. This period is important for several reasons: for the formation of reliable scars in the uterus and for the complete restoration of the ovaries.
This period is also called the "rest period" and at this point, oral contraceptives are often prescribed. At the end of the "rest period", an ultrasound scan of the uterus is usually scheduled to make sure it has good scars.
If the uterine scar has not had time to fully form, pregnancy can provoke a rupture of the uterus at the site of the scar.
After endometriosis
After endometriosis, laparoscopic surgery can also involve several techniques. In this case, endometriotic foci can either be cauterized with parallel dissection of adhesions, or removed by a trocar.
After surgery for endometriosis, it is not recommended to become pregnant within 3 months. Sometimes this period is increased - for example, if a course of hormone therapy is recommended after the operation, which can take up to six months.
The very onset of pregnancy is especially favorable for endometriosis, as it inhibits the formation of endometrioid foci.
Rules to help you get pregnant
It happens that after laparoscopy, pregnancy is already resolved, the results of treatment are good, the course of treatment with medicines has been completed, but the long-awaited conception is still missing. What to do in such a situation? In this case, you can use some tips to speed up the onset of pregnancy:
- Quit smoking, as nicotine lowers the activity of sperm and their readiness to conceive.
- Do not "get hung up" on pregnancy. If pregnancy becomes an obsession, it can make the dream of a baby unattainable. Stress alters hormones and makes pregnancy unlikely.
- Make the most of sex auspicious days... These days are the period a few days before ovulation and the first day after it. For the calculation, you can use the temperature method or special tests.
- Protection from stress for both partners.
- Taking vitamins (including for men) that increase the chance of conception: folic acid, vitamin E, multivitamin complexes.
- Do not abuse sex, as constant ejaculation reduces the quality of sperm For conception, it is enough to have sex 2-3 times a week.
- Avoid a man visiting baths, saunas and steam rooms during pregnancy planning. It's connected with negative impact high temperatures for sperm.
- Use correct postures at conception. For example, when the uterus is bent backward, a woman is advised to use the rear, knee-elbow, or classic posture. After sex, the partner is advised to lie down horizontally or be in the "birch" position to avoid sperm leakage. After that, the woman is recommended to turn on her stomach and lie down quietly for 15-20 minutes.
Pregnancy after laparoscopy is an absolutely predictable and natural process. In this case, it is important for a woman to take seriously all medical recommendations before conception. And for all the forced suffering expectant mother the price will be birth healthy baby... Health to you and your children!
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