Role of surgery to optimise outcome of assisted conception treatments
Article first published online: 19 APR 2013
© 2013 Royal College of Obstetricians and Gynaecologists
The Obstetrician & Gynaecologist
Volume 15, Issue 2, pages 91–98, April 2013
How to Cite
Role of surgery to optimise outcome of assisted conception treatments. The Obstetrician & Gynaecologist 201315:91–8., .
- Issue published online: 19 APR 2013
- Article first published online: 19 APR 2013
- Manuscript Accepted: 4 MAR 2012
- assisted reproductive technology;
- in vitro fertilisation;
- surgical interventions;
- uterine anomalies
- 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.
- 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.
- 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.