Laparoscopic & Hysteroscopic Surgery in Pune - Femcare Fertility, Kalyani Nagar

Dr. Sayali Chavan Shitole at Femcare Fertility, Kalyani Nagar, Pune, performs minimally invasive laparoscopic and hysteroscopic procedures to treat endometriosis, uterine fibroids, ovarian cysts, polyps and intrauterine adhesions that affect fertility. These procedures are performed before IVF to optimise uterine conditions. Consultation: ₹500.

Laparoscopic and Hysteroscopic Surgery for Fertility in Pune - Femcare Fertility

When an investigation reveals a uterine polyp, ovarian cyst, intrauterine adhesion, or significant endometriosis, the question becomes: should this be treated before fertility treatment begins? In most cases, the answer is yes - and the treatment is a minimally invasive surgical procedure that typically requires only a short admission, leaves no large scars and allows the body to recover quickly before the fertility treatment resumes.

Dr. Sayali Chavan Shitole is trained and experienced in both laparoscopic and hysteroscopic surgery, offering patients at Femcare Fertility in Kalyani Nagar a surgical option that directly improves fertility outcomes rather than simply treating a condition in isolation.

What Is Laparoscopic Surgery?

Laparoscopy is a surgical technique using a thin telescope (laparoscope) inserted through a small incision just below the navel. The surgeon views the pelvic and abdominal organs on a video screen and uses fine instruments through 1-2 additional small incisions to perform the operation. Because there is no large abdominal cut, recovery is much faster - most patients return home the same day or after one night and resume normal activity within a week.

• Endometriosis - excision of endometriotic deposits and drainage or removal of endometriomas (chocolate cysts) on the ovaries
• Ovarian cysts - dermoid cysts, simple cysts and endometriomas causing pain or compressing ovarian tissue
• Uterine fibroids (myomectomy) - removal of fibroids outside the uterine cavity that may be distorting the uterus
• Pelvic adhesions - releasing scar tissue from previous infections (PID) or surgeries that is blocking tubes or distorting anatomy
• Tubal surgery - assessing and attempting to open mildly blocked tubes where appropriate
• Diagnostic laparoscopy - when all tests have been normal but infertility is unexplained

What Is Hysteroscopy?

Hysteroscopy involves passing a thin, lighted telescope through the cervix into the uterine cavity - no incisions at all. It provides a direct, clear view of the inside of the uterus, which ultrasound often cannot show with enough detail.

Uterine polyps - benign growths on the inner lining that can prevent implantation

Submucous fibroids - fibroids that protrude into the uterine cavity and directly impair embryo implantation

Intrauterine adhesions (Asherman's syndrome) - scar tissue inside the uterus, often from previous curettage (D&C), that can cause amenorrhoea and repeated implantation failure

Uterine septum - a fibrous wall dividing the uterine cavity, associated with recurrent miscarriage and preterm birth

How These Procedures Improve IVF Success

Research consistently shows that certain uterine abnormalities, when corrected before IVF, improve implantation rates and reduce miscarriage risk. A polyp as small as 1 cm in the uterine cavity has been shown to halve implantation rates in IVF cycles. Removing it restores the endometrial surface and gives the transferred embryo a significantly better chance of implanting.

Dr. Sayali performs hysteroscopy routinely before IVF in patients with suspected or confirmed uterine abnormalities on scan and as part of the workup for recurrent implantation failure.

Recovery After Laparoscopic or Hysteroscopic Surgery

Hysteroscopy is usually a day procedure with minimal discomfort and no significant downtime. Laparoscopy requires a short admission and approximately one week of rest, with full recovery in 2-3 weeks. Dr. Sayali discusses the specific recovery timeline for each procedure at the pre-operative consultation.