In recent years, more and more women are facing infertility. This diagnosis is made on the basis of complaints (absence of pregnancy), which are recorded within one year of regular sexual activity. Often in such cases, ovulation is stimulated. Reviews (who got pregnant in this way, they tell) are positive. But not for everyone, this method becomes a panacea. Some women require laparoscopic ovarian cauterization. You will learn about what this procedure is from today's article.
Laparoscopic surgery
A minimally invasive method of intervention - laparoscopy - has been used for many years to treat and diagnose various diseases. Before the advent of this technique, doctors performed a laparotomy: a layer-by-layer incision of the peritoneum. WithThe development of medicine has made it possible to use low-traumatic methods that do not cause negative consequences.
Laparoscopic surgery allows you to intervene in any organ. More often this procedure is performed on female organs: ovaries, uterus, fallopian tubes. In this case, we are interested in manipulation performed on the ovaries. There are several types of the mentioned procedure:
- diagnostic (used to establish a diagnosis, can, if necessary, go into treatment);
- decortication (removal of the superficial dense layer from the organ);
- resection (excision of part of an organ);
- electrothermocoagulation (a recess is made in the ovary at a distance of one centimeter);
- electrodrilling (cauterization of neoplasms with current);
- cauterization of the ovaries (making notches in places where cysts accumulate).
Each method is chosen according to the complaints and symptoms present. Before this, the patient's condition is carefully assessed and preparations are made.
Ovarian cauterization: method description
This method is not used as often as some of the above. When a woman is scheduled for ovarian cauterization, she has a feeling of uncertainty and fear. In fact, there is nothing wrong with manipulation. It is produced exclusively within the walls of the hospital. Experienced surgeons and anesthesiologists work with the patient. Cauterization involves laser execution of notches at the locationscyst. In this case, the doctor needs to ensure that the contents of the mature follicles pour out. By the end of the manipulation, the woman's ovaries are significantly reduced in size. The purpose of the procedure is to remove multiple cysts and “unload” the ovaries, start their work.
The need for manipulation
Laser cauterization of the ovaries (cauterization) is necessary for patients with polycystic disease. What is this pathology? Polycystic disease is a disease in which the follicles mature, but do not burst. Under such conditions, the ovaries each cycle form a new vesicle - a cyst. As a result, the body is filled with such neoplasms and can no longer function normally. This circumstance can be caused by various factors.
- Hormonal failure. When the sex glands do not respond to the production of hormones, or the latter are secreted in insufficient quantities. More often, this refers to luteinizing hormone.
- The ovary membrane is too thick. The capsule prevents the follicle from bursting and releasing an egg.
- Vegetative and chronic diseases, heredity or something else
Cauterization of the ovaries is prescribed for those women who have laboratory confirmed their diagnosis. Also, the procedure is necessary in the absence of the effect of drug stimulation.
Contraindications for minimally invasive treatment
Not every representative of the weaker sex can easily undergo this manipulation. There are certaincontraindications for its implementation. Among them are absolute and relative. In the first case, we are talking about an irreversible condition in which laparoscopic treatment is not performed under any circumstances. Relative contraindications are subject to correction.
The absolute limitation to minimally invasive intervention will be: sepsis, pathologies of the cardio-respiratory system, peritonitis, coma, intestinal obstruction. Relative ones include: age, history of surgery, obesity, blood diseases, infectious diseases, malignant tumors, late or early pregnancy.
How to prepare?
Ovarian cauterization, the consequences of which will be presented to you later, requires some preparation. Before the procedure, a woman must be tested and examined by some specialists. Physicians determine the possibility of the procedure and give their opinion. Doctors who should be visited are a neurologist, a cardiologist, a general practitioner, a gynecologist. Studies are assigned as follows:
- OAC, OAM, blood test for HIV, hepatitis and syphilis;
- establishment of blood type and Rh factor;
- study of vaginal microflora;
- determination of normal blood clotting;
- ECG and fluorography.
On the eve of the manipulation, you need to follow a diet: do not eat gas-producing foods, exclude fatty and alcohol. Dinner must take place no later than 6 pm. You can drink water until 22:00. If you have problems with stool regularity, then be sure to takelaxatives. You need to empty your bowels before going to bed and in the morning. On the day of the operation, it is strictly forbidden to eat and drink. If you can’t go to the toilet on your own, then use an enema.
Features of the operation
Before the manipulation, the patient is given sedatives and analgesics. Directly on the operating table, the anesthesiologist gives anesthesia. During laparoscopy, the woman is in a state of sleep. As soon as the drugs begin to act, a ventilator tube is inserted into the respiratory tract of the fairer sex, with its help the abdominal cavity is pumped with gas that lifts the abdominal wall. Further, from 2 to 4 incisions are made in the peritoneum, through which a camera is inserted that supplies the image to the screen, manipulators, a laser and other necessary tools.
With the help of forceps, the gonads (ovaries) are fixed in a fixed position. After that, notches are made with a laser at the sites of cyst formation. Blood loss during the operation is minimal, the risks of complications are also close to zero. When all the planned manipulations are completed, the instruments are removed and the holes are sutured.
Recovery period
The patient must remain under medical supervision for several days. Menstruation after cauterization of the ovaries can begin at any time, because there has been an interference with the work of the gonads. In some patients, the regularity of the cycle is not disturbed, bleeding begins atscheduled time.
A woman is allowed to stand up after the operation after 4 hours. You need to move as much as possible to speed up the recovery process. On the second day after the intervention, it is allowed to return to normal nutrition, but it is necessary to monitor the work of the intestines. Medication is prescribed as needed.
Questions women often ask
- Many patients wonder if ovarian cauterization is considered the first day of the cycle. No, unless a gynecological curettage of the uterine cavity has been performed.
- Is it necessary to observe sexual rest after manipulation? Yes, you must abstain from sex for two weeks.
- How long is pregnancy possible after ovarian cauterization? You can plan conception in 2-3 months, if there are no other contraindications and the need for drug treatment.
- Does manipulation cause pain? During the procedure, the woman sleeps and does not feel anything. After surgery, the likelihood of pain is minimal, as small areas of the peritoneum are damaged.
- Why is there discomfort in the sternum and the collarbone hurts? Often in thin women, this is how the discharge of gas pumped into the abdominal cavity is manifested. After a few days, the discomfort will go away on its own.
Consequences of the procedure: pros and cons
The cauterization procedure has undeniable advantages over other methods of treatment. Positive has ovulation stimulation reviews. Who got pregnantway, they say they only had to take drugs. But not every patient can use this method to cope with the problem. If the opening of the follicles does not occur, then additional intervention is necessary.
Cauterization is a safe and effective way. The likelihood of complications is minimal. Adhesions do not develop, and there is no need to use antibiotics. The recovery period is short, it proceeds easily and painlessly. There are no cosmetic flaws: scars and stitches. There are practically no shortcomings and minuses of the procedure. Only in exceptional cases, there are consequences in the form of injury to neighboring organs, bleeding and other complications.
Feedback from women who have gone through this
Many representatives of the weaker sex say that after the procedure they had a long-awaited pregnancy. Some, disobeying the recommendations of the doctor, were able to conceive a baby in a month. At the same time, the pregnancy proceeded without complications and negative aspects.
Patients say that after treatment, their cycle was restored. Menstruation after cauterization of the ovaries acquired stability and regularity. Bleeding became less abundant and painless. Also, ovulation became constant and timely. Abdominal pain caused by multiple cysts disappeared.
Summarize
Ovarian cauterization is not practiced in all medical institutions. More often during laparoscopy, the surgeon makesnotches on the ovaries, destroying the dense capsule, but not affecting the cysts. This method of treating polycystic ovary syndrome is not so effective. Nevertheless, therapy is very popular and has positive reviews. See your doctor and see if you have any concerns. Good he alth!
