My fertility doctor recommended surgery – now what?

infertility doctor surgery

If you’re undergoing fertility care, it’s possible your fertility doctor may have noticed something concerning during a routine visit and may have recommended you have surgery, such as a hysteroscopy or a laparoscopy, to correct the issue.

That may seem scary, and you might be frantically searching the internet to see what those procedures entail. But before you start to worry, don’t – reproductive surgeries are common, minimally invasive, and are done to help your body be in the best shape possible for pregnancy. Both hysteroscopies and laparoscopies are surgeries that are aimed at creating a conducive environment for embryo implantation and pregnancy.

Here’s exactly what you can expect:


This is a surgery performed to view the uterine cavity and address any pathology that would have an impact on pregnancy, such as polyps, fibroids, or scar tissue. During the procedure, you will likely be given anesthesia to relax. Once under, the doctor will insert a speculum into your vagina. Then, an instrument called a hysteroscope will be inserted into your vagina, through your cervix, and into your uterus. Gas or fluid will travel through the hysteroscope into the cavity of your uterus to make it bigger and allow your doctor to see inside more clearly. At this point, the doctor will inspect the tissue lining your uterus and the contour of the uterus. The areas where the fallopian tubes open into the uterus are also examined. You should be able to go home shortly after the procedure is over.


This surgery involves placing a small camera within the abdomen to allow for visualization and treatment of various conditions, including endometriosis, fallopian tubal disease, fibroids, and adhesions. During the procedure, you will be given anesthesia to relax. Once you are under, your doctor will insert a needle and inject a harmless gas into your abdomen. This allows the doctor to see your reproductive organs more clearly. The needle is then removed and a narrow fiber optic telescope called a laparoscope is inserted through a small incision near your navel. Another small incision is made in your lower abdomen so that your doctor can insert a probe. The probe is used to move or lift the organs to see hidden areas. Also, a dye may be injected through your cervix into your uterus and fallopian tubes to see if the tubes are open or blocked. If your doctor sees a problem, it may often be treated at this time with a surgical instrument that is inserted through another small incision made in your lower abdomen. There is very minimal downtime and you should be able to go home the same day.

To learn more about infertility treatment options, visit Options for Women.

To make an appointment with RMA of Southern California, call 424-293-8841.




Thomas J. Kim MD, FACOG HCLD (ABB) / MT (AAB), Medical/Laboratory Director

Reproductive Medicine Associates of Southern California - Los Angeles, CA

Reproductive endocrinologist at Reproductive Medicine Associates of Southern California (RMASOCAL) in Los Angeles, CA. View more blogs by Dr. Kim.