Description

Infertility is a complex challenge affecting many women worldwide, and two common contributors are tubal blockages and Polycystic Ovary Syndrome (PCOS). Modern gynecology has embraced laparoscopy as a gold standard for both diagnosis and treatment. Two important laparoscopic procedures in this context are the tubal patency test and ovarian drilling. These minimally invasive techniques not only provide accurate evaluation but also therapeutic benefits, improving a woman’s chance of conception. Laparoscopic Tubal Patency Test What is it? The laparoscopic tubal patency test is a procedure used to check whether the fallopian tubes are open or blocked. Since the fallopian tubes are crucial for egg transport and fertilization, blockages can lead to infertility. How is it done? The procedure is performed under general anesthesia. A laparoscope (thin telescope-like instrument) is introduced through a small incision near the umbilicus. A colored dye (commonly methylene blue or methylene green) is gently introduced into the uterine cavity. The surgeon observes whether the dye flows through the fallopian tubes and spills freely into the pelvic cavity. If the dye passes, the tubes are open. If it does not, there may be partial or complete blockage. Advantages of laparoscopic tubal patency test Direct visualization of tubes and pelvic anatomy. Simultaneous detection of other pelvic problems (endometriosis, adhesions, fibroids). Possibility of corrective procedures in the same sitting if abnormalities are detected. Laparoscopic Ovarian Drilling for PCOS Understanding PCOS Polycystic Ovary Syndrome (PCOS) is a hormonal condition characterized by irregular cycles, multiple small cysts in the ovaries, excessive androgens, and infertility due to anovulation (failure of ovulation). What is ovarian drilling? Laparoscopic ovarian drilling (LOD) is a surgical treatment for women with PCOS who have not responded to medications like clomiphene citrate or letrozole. It involves creating tiny punctures in the thickened ovarian capsule to restore ovulation. Conclusion The laparoscopic tubal patency test and ovarian drilling for PCOS are pivotal tools in modern infertility management. They not only provide precise diagnosis but also open the door for successful treatment. When medical therapies fail, these minimally invasive procedures offer renewed hope to women striving for motherhood.