Is the pregnancy rate high after laparoscopy?

Laparoscopy is a relatively common surgery, usually used to observe abnormalities in a woman's uterus or fallopian tubes to help many women fundamentally solve the problem of infertility. However, some people become pregnant after undergoing laparoscopic surgery, but some people may not become pregnant even after undergoing laparoscopy. In fact, there are many factors that affect women's pregnancy, and pregnancy cannot be achieved simply by relying on laparoscopy.

Is the pregnancy rate high after laparoscopy?

It is difficult to estimate the specific probability of pregnancy after treatment before surgery. As long as the fallopian tube function is not severely damaged, the probability of pregnancy after treatment is very high. The doctor will determine the probability of pregnancy based on the specific conditions of the fallopian tubes and pelvic cavity seen during the operation.

After hysteroscopy, the chance of pregnancy is about 30-40%, which is similar to the success rate of in vitro fertilization. However, the prerequisite is that the fallopian tubes must be unobstructed after the operation, and whether pregnancy is possible is a matter of probability. Therefore, the probability of pregnancy after laparoscopy varies from person to person.

Women with fallopian tube disease or pelvic disease may have difficulty getting pregnant. Laparoscopic examination of infertile women can help identify the cause of infertility and develop a treatment plan, which mainly includes:

1. Fallopian tube disease: Fallopian tube obstruction is an important factor in female infertility, accounting for about 40%-60%. Evaluation of tubal infertility by laparoscopy should include diagnosis of tubal adhesions, hydrosalpinx, and tubal motility. Injecting the USL through the uterine cavity and observing the overflow of the USL from the fimbria is the most intuitive and accurate way to judge the patency of the fallopian tube. It can also help to understand the location and degree of fallopian tube obstruction.

2. Pelvic lesions:

① Pelvic adhesions, especially adhesions between the fallopian tubes and the ovaries or around the uterus, may occur to varying degrees. Under laparoscopy, the pointer for adhesion lysis can be determined based on the extent of the adhesions and the thickness of the fiber bundles.

② In the past, the diagnosis of endometriosis mainly relied on medical history and physical signs, with a misdiagnosis rate as high as 40.7% and a missed diagnosis rate of 17.8%. Laparoscopy is the "gold standard" for diagnosing endometriosis, and effective treatment is possible when early diagnosis is made.

③ In case of ovulation disorder, laparoscopy is used to determine whether the ovaries are polycystic ovaries or unruptured luteinized ovarian follicle syndrome.

④ Laparoscopic examination of internal genital malformations can confirm ovarian absence or hypoplasia and uterine malformations.