Ovulation after laparoscopy. How does ovulation occur after laparoscopy When does ovulation occur after laparoscopy

Thanks to laparoscopy, there is a unique opportunity to cure a woman of serious diseases, including infertility. This method is a safe but highly effective surgical intervention.

During it, small holes are made in the front wall of the abdomen, through which a laparoscope is inserted, which is a telescopic tube equipped with a video camera, as well as a special tool with which you can remove the pathology.

Despite the fact that this method of treatment has minimal risks and allows you to quickly recover, the problem in the field of restoring the menstrual cycle is not ruled out, namely: the complete absence of ovulation.

Laparoscopy can be performed in emergency cases or as a planned operation. In an emergency, this method is prescribed for such pathologies:

ectopic pregnancy;
polycystic ovary;
various pathologies identified in the reproductive system;
apoplexy.

A planned operation is assigned in these cases:

myoma;
endometriosis, after the removal of this pathology, in 70 cases out of 100 a long-awaited pregnancy occurs;
removal of adhesive processes in the fallopian tubes;
removal of fallopian tubes;
sterilization, if there are medical indications for sterilization or the woman does not want to become pregnant anymore, she is prescribed laparoscopy, through which she is sterilized.

Source: zovmiloserdia.ru

Naturally, the onset of ovulation depends entirely on the purpose of the surgical intervention. If the fallopian tubes or uterus were removed during laparoscopy, and sterilization was also performed, then ovulation will never occur. In cases where this method was carried out in order to eliminate any pathology that interferes with conceiving or bearing a child, ovulation should occur in the first menstrual cycle after it has been carried out.

Ovulation

This type of surgical intervention in no way affects the maturation of the egg and its release from the follicle. Thanks to laparoscopy, problems associated with conception can be eliminated, especially if infertility occurs due to polycystic ovaries or adhesions in the fallopian tubes. The operation allows you to perform the following manipulations:

make a point cauterization of an ovarian cyst;
excise the area while maintaining the integrity of the entire organ;
perform an incision in the ovary, this action is very effective in the complete absence of ovulation, as it allows you to normalize the hormonal background.

If laparoscopy does not affect the onset of ovulation in any way, then the question arises: why is it not after the operation? Physicians identify three reasons:

Pathological.
Physiological.
Medical.

The pathological cause that prevents ovulation occurs due to the development of any diseases in the female body. Such ailments and pathological processes include diseases of the thyroid gland, the cardiovascular system or the small pelvis.

It should be noted that the low weight of a woman can also adversely affect the menstrual cycle, and as a result, the absence of ovulation. All of the above pathologies that interfere with the proper production of sex hormones and prevent the onset of ovulation should be treated with medication, so laparoscopy in this situation will be superfluous and will not help to get pregnant.

Physiological reasons include the lactation period, so you should not hope for pregnancy and expect ovulation at this time. Another reason that prevents the onset of ovulation is the woman's age, since after 45 years the menopause period begins to approach.

The absence of ovulation after laparoscopy of the ovaries may contribute to the adoption of any medications or contraceptives. If a woman is prescribed hormonal drugs, which include a large proportion of the hormone estrogen, then they will suppress the onset of the ovulatory period.

Stimulation

If a woman wants to quickly conceive a child, then after laparoscopy it is advisable to start ovulation stimulation. The stimulation scheme should be prescribed only by a specialist, since it is considered an interference with the natural functioning of the body and can do more harm than good. Before taking drugs that cause ovulation stimulation, it is advisable to complete a full course of the appropriate examination. Usually appointed:

cardiogram of the heart;
ultrasound diagnostics of the pelvic organs and mammary glands;
folliculometry;
blood for HIV;
PCR diagnostics to detect sexually transmitted diseases;
smear from the vagina;
blood for hormones.

If all tests are good, the doctor prescribes a stimulation scheme. To date, there are 4 groups of ovulation stimulation:

Preparations containing the human hormone that causes ovulation: Menogon or Menopur.
Medications based on follicle-stimulating hormone: Puregon, Formon, Fostimon, Gonal.
Means aimed at lowering estrogen levels in the blood: Serofen, Duphaston.
Medicines through which the follicle ruptures and the egg is released from it: Horagon.

If we talk about the degree of effectiveness of this procedure, then in 70% of 100 cases a woman becomes pregnant after the first stimulation. If conception does not occur for any reason, the doctor decides to increase the dose of the drug and repeat the stimulation.

Of course, ovulation stimulation has its own side effects, including weight gain, problems with the gastrointestinal tract, the appearance of problems in the central nervous system and a malfunction of hormones. Nevertheless, one cannot ignore the beneficial effects of stimulation - the successful conception of a child.

Painful ovulation often causes women to worry about their health and the main reason for visiting a doctor. The ovulatory period is different for everyone. In some, the release of the egg proceeds unnoticed, they are energetic, they can engage in sports exercises, swimming, go to discos and lead an active lifestyle without restrictions. Others are less fortunate - painful ovulation "haunts" them from time to time. If the pain is mild, then there is no cause for concern. But it also happens that the stomach hurts after ovulation to such an extent that a woman is deprived of all the usual joys, the opportunity to conduct everyday activities and even have sex.

In this article, we will talk about whether ovulation can be painful in a healthy woman, why ovulatory pains occur, what they are, what disorder in the body may indicate pain during and after the release of the egg.

The process of release of a mature egg from the follicle

Doctors believe that minor pain at the time of the ovulatory process is possible and does not require any treatment. Every 4-5 women experience painful ovulation. It is enough to take painkillers (Spasmalgon, Tamipul) and the lower abdomen will stop whining. However, it also happens that pain is not associated with ovulation, but is a consequence of the uterus, fallopian tubes. For example, if the duration of menstruation increases / decreases and at the same time regularly pulls the lower back, a woman can be diagnosed with the presence of adhesive processes in the pelvic organs.

If abdominal pain after ovulation arose for the first time, in order to exclude all possible gynecological diseases, a woman is recommended to visit a gynecologist for a complete examination, take a blood test, make smears, and undergo ultrasound diagnostics.

If the results of the examination showed that there are no disorders of the genitourinary system, then the pulling pains after ovulation or during it (approximately on the 14th day of the menstrual cycle) are due to changes that occur in the appendages when a mature egg is released. However, why does the lower abdomen hurt during ovulation if the woman is completely healthy?

Causes of painful ovulation:

follicle apoplexy;
rupture of nearby capillaries;
Availability ;
increased peristalsis of the fallopian tubes;
contraction of the uterus;
low threshold of pain sensitivity;
cancellation of OK (oral contraceptives) ;
inflammation of the ovaries ();
active sex in the middle of the cycle.

During ovulation, the follicle capsule increases in size, stretches and bursts, releasing an egg ready for fertilization. During this, a small amount of follicular fluid with blood resulting from the rupture may enter the abdominal cavity. This process is accompanied by painful sensations in the ovarian region. Soon the follicular fluid is absorbed and the discomfort goes away. Pain in the lower abdomen after ovulation and during it can last from several hours to 2 days.

On the day of ovulation, the fallopian tubes, along which the egg moves, may contract, which also causes discomfort in the lower abdominal cavity.

Soreness in the ovaries is also explained by the contraction of the uterus. If the mature egg did not fulfill the function laid down by nature and was not fertilized, the uterus begins to contract intensively, trying to “get rid of” it. Depending on the frequency and strength of such spasms, pain occurs in the lower abdomen, which radiates to the leg, coccyx, lower back.

One of the reasons why the lower abdomen hurts after ovulation is considered to be a violation of the psycho-emotional state of a woman. Constant stress, nervousness, hysteria affect not only the mood, but also the general condition of the body. Since a woman is more vulnerable and receptive during the period of ovulation, even an ordinary quarrel can affect the condition of the ovaries and the process of rupture of the follicle. Negative emotions, irritation over trifles aggravate the course of ovulation and cause pain of a aching, pulling nature.

When to See a Doctor

If the stomach hurts during ovulation or after it for more than two days, while analgesics do not help, the intensity of spasms increases and the pain becomes unbearable, a woman needs to visit a gynecologist.

Important! Acute, tingling pain in the lower back after ovulation, as well as the appearance of nausea, vomiting, loss of consciousness requires urgent medical attention! For correct diagnosis and competent diagnosis, it is strictly forbidden to take any analgesics before the arrival of a specialist.

Also, a mandatory visit to a gynecologist is required if painful ovulation has the following symptoms:

Change in the nature of pain. The pain has become more pronounced, exhausting, cutting, stabbing, aching, which is impossible to endure. For example, dagger pain in the lower abdomen during ovulation is a dangerous sign. It may indicate an exacerbation of appendicitis or the development of peritonitis. Pain in the side indicates the presence of adhesions in the pelvic organs or an ectopic pregnancy.
Pain during ovulation appeared for the first time or was previously insignificant.
Painful sensations, localized in the ovaries, began to give to other organs:

hypochondrium - may indicate the development of gastritis, hepatitis, pancreatitis;
under the shoulder blade or arm - indicates the presence of cardiovascular diseases;
in the groin - is a sign of inflammatory diseases of the pelvic organs. Discomfort lasts constantly and becomes more intense with physical exertion or coughing.

The pain intensifies after eating, the act of defecation (inflammation of the gastrointestinal tract).
The appearance of pain during urination, purulent or bloody discharge (acute inflammation of the genitourinary system).
The lower back hurts during ovulation or the entire back, pulls the legs (osteochondrosis, sciatica, spinal hernia).
Other symptoms join (diarrhea, fever, headache).

Therefore, the appearance of pain in the abdomen during ovulation does not always indicate a rupture of the follicle. Only an experienced doctor will reliably determine the symptoms of a particular disease and tell you why the ovaries may hurt during this period. Remember! The diagnosis should be made only by a specialist after a woman has passed a series of tests and undergoes an ultrasound scan of the pelvic organs.

Ovulation pain during sex

Some women complain that it is painful for them to have sex before ovulation (about 4 days before) and after it. If inflammation of the ovaries or other pelvic organs is not detected, then the appearance of such pain is considered normal.

The sexual intercourse that took place in the middle of the cycle, which coincided with the rupture of the follicle, can contribute to the occurrence of aching and stabbing discomfort. Most often, the pain is localized on one side. For example, a pulling ovary on the left indicates that it was in the left appendage that the follicle ruptured and the egg was released.

Painful ovulation after OC withdrawal

Hormonal contraception not only prevents unplanned pregnancy, but also suppresses ovulation. After the cancellation of OK, the reproductive system restores all functions, and the hormonal background returns to normal. The ovaries "wake up" and begin to fully work. The appearance of pain after the cancellation of OK is considered the norm, since the female body remembers its purpose. After several menstrual cycles, the hormonal background is restored, the discomfort disappears.

Sharp pain in the ovarian region during sex may indicate the presence of a cyst or its rupture. If the discomfort does not go away, and the intensity of pain only increases, you should consult a gynecologist! Untimely medical care can lead to hemorrhage in the abdominal cavity, the development of peritonitis.

Pain in the middle of the cycle after childbirth or surgery

In medical practice, there are cases when painful ovulation appears only after childbirth or complex surgical interventions (for example, laparoscopy, appendectomy). The postoperative period may have similar symptoms and appear in the middle of the cycle. Already the woman herself associates this with ovulation and does not attach any importance. However, during the recovery period after abdominal operations, adhesions may occur in the pelvic organs, which will soon lead to pain not only during ovulation, but also on the 4th day after it.

If painful ovulation after childbirth occurred for the first time, you should contact a gynecologist as soon as possible. To exclude inflammatory processes, cysts and other pathologies of the pelvic organs, a woman is prescribed an ultrasound scan and tests.

Important! Usually, good regular labor and delivery without complications does not cause severe pain during ovulation. Occasionally, a woman can slightly pull her stomach, but after the restoration of the body and the hormonal background, painful ovulation is not observed.

How to relieve pain

With the advent of the first menstruation, a girl should learn to monitor her female health, determine unusual sensations, know the duration and beginning of the next menstruation, and monitor the ovulation cycle. To do this, you can keep a special notebook in which you need to mark the beginning and end of menstruation, the intensity and consistency of discharge, sensations during ovulation and menstruation. Such actions will help to understand whether the pain is related to the ovulatory process or there is some other reason.

If the lower abdomen hurts during ovulation, disrupting the woman's habitual lifestyle, the doctor may prescribe painkillers. In acute pain, hormonal pills are prescribed to suppress ovulation and eliminate pain.

Remember! Only after an ultrasound and passing all the necessary tests, you can determine why a very painful ovulation occurred and what to do to relieve pain.

If the pain is aching in nature, and the ultrasound examination showed any abnormalities, it is important to start treatment of a particular disease as soon as possible. Untimely and illiterate treatment can not only increase the pain in the lower abdomen during ovulation, but also lead to irreparable consequences.

If the discomfort is associated with the release of the egg, the woman can alleviate the spasms on her own. For this you need:

avoid stress, nervousness, tense psychological situations;
reduce physical activity, fully relax and sleep for at least 8 hours;
spend more time outdoors;
introduce vitamins into the daily diet, drink plenty of water;
to refuse from bad habits;
do not exhaust yourself with diets.

To facilitate the ovulation period will help a warm heating pad, which must be placed on the lower abdomen. However, this method of reducing spasms can only be used if the woman knows for sure that ovulation is the cause of the discomfort.

Every woman should take care of her women's health and listen to all the unusual signals of the body. To prevent the development of complications, it is necessary to consult a doctor not only when painful ovulation occurs, but also visit a gynecologist at least twice a year. Women over the age of 30 are recommended to undergo a medical examination once a year.

Update: December 2018

Unfortunately, not all women get pregnant "easy and simple", without delays and problems. Various gynecological diseases stand in the way of motherhood, and in such cases medicine comes to the rescue. Laparoscopic surgery, which can be performed both for the inability to get pregnant and for the treatment of any gynecological pathology, is one of the methods to help become a mother. But on the other hand, patients who have undergone this manipulation have a lot of questions: when can you get pregnant, what is needed for this, whether the operation will cause infertility, and others.

Laparoscopy: what is the essence

Laparoscopy, which in Greek means “look at the womb”, is a modern surgical method, the essence of which is to perform surgical operations through minor holes (up to 1.5 cm) in the amount of three. With the help of laparoscopy, the organs of the abdominal and pelvic region are operated. Laparoscopy is widely used in gynecology, as it allows you to reach both the appendages (tubes and ovaries) and the uterus.

The main laparoscopic instrument is the laparoscope, which is equipped with a backlight and a video camera (everything that happens in the small pelvis is displayed on a TV screen). Through 2 other holes, various laparoscopic instruments are inserted. To provide operational space, the abdominal cavity is filled with carbon dioxide. As a result, the abdomen swells, and the anterior abdominal wall rises above the internal organs, forming a dome.

Advantages and disadvantages of the method

First of all, it should be noted that with laparoscopic access, the surgeon sees much wider and more accurately the organs on which he operates due to multiple optical magnification of this area. Among other advantages it should be noted:

low traumatism of organs (they do not come into contact with gloves, air and gauze swabs);
minor blood loss;
short periods of stay in the hospital (no more than two to three days);
there is practically no pain (except for the feeling of fullness of the abdomen in the first or second day after the operation, until the gas is absorbed);
the absence of rough scars, except for the places where the holes are sutured;
fast rehabilitation period (does not require bed rest);
low probability of formation of postoperative adhesions;
the possibility of simultaneous diagnosis and surgical treatment;

Among the disadvantages of laparoscopy, it should be noted:

requires general anesthesia, which is fraught with various complications;
requires specially trained surgeons;
the impossibility of carrying out some operations laparoscopically (large tumors, operations associated with suturing vessels).

Examination before laparoscopy

Before laparoscopy, as well as before any other surgical operation, it is necessary to undergo a certain examination, the list of which includes:

examination of the patient on the gynecological chair;
complete blood count (with platelets and leukocyte count);
general urine analysis;
blood clotting test;
blood chemistry;
blood group and Rh factor;
blood for hepatitis, syphilis and HIV infection;
gynecological swabs (from the vagina, cervix and urethra);
ultrasound examination of the pelvic organs;
fluorography and electrocardiography;
husband's spermogram in case of laparoscopy for infertility.

Laparoscopic surgery is scheduled for the first phase of the cycle, immediately after the end of menstruation (approximately 6-7 days).

Indications for carrying out

Laparoscopy is performed both for planned and emergency indications. Indications for immediate laparoscopic surgery are:

ectopic (ectopic) pregnancy;
rupture of an ovarian cyst;
torsion of the legs of an ovarian cyst;
necrosis of the myomatous node or torsion of the subserous node of uterine fibroids;
acute purulent inflammatory diseases of the appendages (tuboovarian formation, pyovar, pyosalpinx)

But, as a rule, laparoscopic operations are performed in a planned manner (not all clinics are equipped with special equipment). Their indications are:

ligation of the fallopian tubes as a method of contraception;
temporary sterilization (clamping of the fallopian tubes with clips);
various tumors and tumor-like formations of the ovaries (cysts);
polycystic ovaries;
genital endometriosis (adenomyosis and ovarian endometriosis);
uterine fibroids (multiple nodes for myomectomy, removal of subserous nodes on the leg, amputation of the uterus, provided it is small in size);
tubal infertility, intersection of adhesions in the pelvis;
anomalies of the internal genital organs;
removal of the ovary / ovaries or removal of the uterus (amputation and extirpation);
restoration of patency of the fallopian tubes;
chronic pelvic pain of unknown etiology;
diagnosis of secondary amenorrhea.

Contraindications

Laparoscopic surgery, like laparotomy, has a number of contraindications. Absolute contraindications are:

diseases of the cardiovascular system in the stage of decompensation;
hemorrhage in the brain;
coagulopathy (hemophilia);
kidney and liver failure;
malignant diseases of the pelvic organs more than 2 degrees plus the presence of metastases;
shock and coma of any etiology.

In addition, laparoscopic surgery is prohibited for "its own" specific reasons:

incomplete and inadequate examination of spouses in the presence of infertility;
the presence of sexual and general acute and chronic infectious diseases or in case of recovery less than 6 weeks ago;
subacute or chronic salpingo-oophoritis (surgical treatment is carried out only with acute purulent inflammation of the appendages);
pathological indicators of laboratory and additional examination methods;
3 - 4 degree of purity of the vaginal smear;
obesity.

Laparoscopy: when can you get pregnant

And finally, the climax of the article came up: when can you plan a pregnancy or even “be active” after a laparoscopic operation? It is not easy to answer this question unequivocally, since much depends not only on the diagnosis for which the operation was performed, but also on concomitant gynecological diseases, any difficulties during the operation and in the postoperative period, the age of the woman and the presence / absence of ovulation before the operation. .

After tubal obstruction (tubal-peritoneal infertility)

If laparoscopic surgery was performed for obstruction of the fallopian tubes (dissection of adhesions), then doctors usually allow planning a pregnancy not earlier than 3 months.

What explains this? After laparoscopy of the fallopian tubes and dissection of the adhesions that pull them, the tubes themselves are in a state of edema for some time, and in order to return to normal, they need some time. The edema subsides in about a month, but the body needs rest - it will recover after the operation, "adjust" the work of the ovaries.

It is undeniable that the less time has passed since the separation of adhesions, the higher the chances of conception, but. Against the background of edematous, hyperemic and “shocked” tubes, there is a high probability of an ectopic pregnancy, which is why doctors recommend waiting. And so that the wait is not painful, combined oral contraceptives, usually monophasic, are prescribed for a three-month period. Such an appointment of hormonal pills not only aims to prevent "untimely pregnancy", but also to give the ovaries a rest, which, after the pills are canceled, will begin to work (ovulate) in an enhanced mode.

After cyst removal

After laparoscopy for an ovarian cyst, pregnancy should also not be rushed. Laparoscopic removal of an ovarian cyst is performed very carefully, only the ovarian cyst itself is husked, and healthy tissues remain.

Ovarian functions are restored in most cases within a month. And yet, doctors advise to postpone the desired pregnancy as at least 3, preferably 6 months.

For this period, oral monophasic contraceptives are usually prescribed, which protect against unplanned conception, allow the ovaries to rest and normalize. If the pregnancy has come earlier than the agreed period, then there may be problems with its course, so you should not delay visiting the doctor and registering.

After polycystic

Polycystic ovaries is characterized by the presence of many small cysts on the surface of the ovaries. It is possible to carry out the operation in three ways:

cauterization - when multiple notches are made on the ovarian capsule;
wedge-shaped resection - excision of part of the ovary together with the capsule;
decortication - removal of part of the compacted ovarian capsule.

After such operations with polycystic disease, the ability to conceive (ovulation) is restored for a short period (maximum a year). Therefore, planning a pregnancy should start as early as possible (approximately one month after surgery when sexual rest is canceled).

After an ectopic pregnancy

After laparoscopy for ectopic pregnancy, doctors categorically prohibit pregnancy for six months(it does not matter whether a tubectomy was performed or the ovum was husked from the tube with its preservation). This period is necessary to restore the hormonal background after an interrupted pregnancy (as well as after a miscarriage). Within 6 months, you should be protected by taking hormonal pills.

After endometriosis

Laparoscopy of endometriosis consists either in the removal of an endometrioid cyst, or in cauterization of endometrioid foci on the surfaces of organs and the peritoneum with simultaneous dissection of adhesions. Pregnancy has a beneficial effect on the course of endometriosis, as it inhibits the process of growth of foci and the formation of new ones. But in any case, doctors recommend planning a pregnancy not earlier than 3 months.

As a rule, laparoscopic surgery is supplemented by the appointment of hormonal therapy, which can last for six months. In this case, pregnancy is allowed to be planned after the end of the course of hormone therapy.

After uterine fibroids

If laparoscopic conservative myomectomy (that is, removal of myomatous nodes with preservation of the uterus) was performed, the uterus needs time to form “good” wealthy scars. In addition, the ovaries also need to "rest" in order to function effectively in the future. Therefore, pregnancy is allowed to plan not earlier than 6-8 months after operation. During this “rest period”, oral contraceptives and regular ultrasound examination of the uterus (for the healing process and consistency of scars) are recommended.

Pregnancy that occurs earlier than the agreed period can cause rupture of the uterus along the scar, which is fraught with its removal.

Laparoscopy: chances of pregnancy

The probability of pregnancy within a year after undergoing laparoscopic surgery is available in 85% of women. Pregnancy after laparoscopy after how much time is possible (by months):

after 1 month, a positive pregnancy test is noted by 20% of women;
within 3-5 months after the operation, 20% of patients become pregnant;
within 6 to 8 months, the fact of pregnancy was registered in 30% of patients;
by the end of the year, the desired pregnancy occurred in 15% of women.

However, 15% of women remain after undergoing laparoscopy, in which pregnancy never occurs. In such situations, doctors recommend not delaying the wait, but resorting to IVF. After all, the longer the time has passed after the operation, the less the chances of conceiving a child become.

Rehabilitation after laparoscopy

After undergoing laparoscopy, the rehabilitation of the body occurs much faster than after laparotomy (incision of the abdominal wall). By the evening, a woman is allowed to get up and walk, and the discharge is carried out in a couple - three days. It is also allowed to start eating on the day of the operation, but the food should be fractional and low-calorie.

The sutures, if they were applied, are removed on the 7th - 8th day. As a rule, there are no pronounced pain sensations, but in the first days, arching pains in the abdomen may be disturbed due to the gas introduced into the abdominal cavity. After its absorption, the pain disappears.

Menstrual cycle after laparoscopy

After undergoing laparoscopic surgery, in most cases, menstruation comes on time, which indicates the normal functioning of the ovaries. Immediately after the operation, moderate mucous or bloody discharge may appear, which is considered normal, especially if the intervention was performed on the ovaries.

It is possible to continue bleeding minor discharge for three weeks with the transition to menstruation. Sometimes there is a delay in menstruation from 2 - 3 days to 2 - 3 weeks. For a longer delay, you should consult a doctor.

Menstruation after an ectopic pregnancy, which was removed by laparoscopy, occurs on average in a month, plus or minus a few days. In the first days after laparoscopic removal of an ectopic pregnancy, slight or moderate bleeding occurs, which is absolutely normal. These secretions are associated with the rejection of the decidua (where the embryo was supposed to attach, but did not attach) from the uterine cavity.

Preparing for pregnancy after laparoscopy

In order to increase the chances of conception and reduce the risk of possible complications of the desired pregnancy, it is first necessary to undergo an examination:

obligatory visit to the gynecologist;
general clinical tests (blood, urine), biochemistry and blood sugar according to indications;
PCR tests for sexually transmitted infections (if detected, mandatory treatment);
smears from the vagina, cervix and urethra;
determination of hormonal status (according to indications) and correction of disorders;
Ultrasound of the organs of the reproductive system;
genetics consultation (preferably for all couples).

It is possible that a more extensive examination will be needed, for example, a colposcopy or ultrasound of the mammary glands, which is decided by the doctor observing the woman.

taking folic acid at least three months before the planned pregnancy;
completely abandon bad habits, including the future father;
lead a healthy and active lifestyle (walks in the fresh air, moderate physical and sports activities);
reconsider your diet in favor of healthy and fortified;
avoid stressful situations as much as possible;
calculate or determine the days of ovulation (according to a special ovulation test) and “be active” during this period.

How does pregnancy proceed after laparoscopy?

Subject to the terms after which pregnancy is allowed, and recommendations during the planning period, pregnancy, as a rule, proceeds without complications. All deviations from the normal course of the period of gestation are not associated with the laparoscopic operation performed, but with the reason for which the operation was performed.

For example, when pregnancy occurs after ovarian laparoscopy earlier than 3 months have passed, the risk of interruption in the early stages increases due to a failure of the hormone-forming function of the ovaries. Therefore, in this situation, the doctor is likely to prescribe progesterone drugs and antispasmodics to prevent miscarriage. The development of other complications of gestation is not excluded:

intrauterine infection due to chronic inflammatory diseases of the genital organs;
polyhydramnios (as a result of infection);
placenta previa (after removal of myomatous nodes);
fetoplacental insufficiency (hormonal dysfunction, infection);
incorrect position and presentation of the fetus (operations on the uterus).

The course of childbirth

The postponed laparoscopic operation is not an indication for a planned caesarean section, so childbirth is carried out through the natural birth canal. The only exceptions are those operations that were performed on the uterus (removal of fibroids or reconstruction of the uterus for developmental anomalies), since after them scars remain on the uterus, creating a risk of rupture during childbirth. Complications of childbirth that are possible are associated with the presence of gynecological pathology, for which laparoscopy was performed, and not with the operation:

anomalies of tribal forces;
protracted childbirth;
early postpartum hemorrhage;
postpartum subinvolution of the uterus.

Question answer

Question:
Six months ago I had a laparoscopy, but the pregnancy never came, does this mean that the operation was ineffective?

Answer: Laparoscopic surgery cannot be ineffective. In any case, for whatever reason it was performed (polycystic ovaries, cyst or ectopic), the surgeon eliminated all pathological formations. Six months, of course, is already a decent period, but pregnancy can occur in 9 or 12 months. Most importantly, follow your doctor's instructions.

Question:
Why is there no pregnancy after laparoscopic surgery?

Answer: First, it should be clarified how long after the operation pregnancy does not occur. If less than a year has passed, then you should not worry, you may need to undergo an ultrasound of the pelvic organs and take blood tests for hormones (progesterone, estrogens, prolactin, testosterone). In some cases, the doctor prescribes a more detailed examination to clarify the cause of infertility. It is possible that the operation was performed for obstruction of the tubes and the patency was restored, but there is also anovulation or some kind of pathology in the husband's sperm.

Question:
After laparoscopy, the doctor prescribed hormonal pills for me. Is it necessary to take them?

Answer: Yes, after laparoscopic surgery, no matter for what reason it was performed, it is necessary to take hormonal pills. They not only protect against unwanted pregnancy so far, but also normalize the hormonal background and give rest to the ovaries.

Laparoscopy is one of the most effective and safest surgical procedures. But it is not uncommon for women to experience the development of such a problem as the absence of ovulation after surgery. What would that mean? As practice shows, this problem occurs in those women who suffer from infertility. Statistics show that almost every fifth woman after undergoing laparoscopy cannot conceive a child. These are just those women who have problems with ovulation after laparoscopy, as well as the presence of infertility. Laparoscopy in 30% of cases is carried out precisely for the purpose of curing infertility and returning the woman to her main purpose.

Indications for laparoscopy

There are two types of laparoscopic intervention: elective and emergency. An emergency type of intervention is carried out in the following cases:

ectopic pregnancy;
apoplexy;
ovarian cysts;
in the presence of pathological abnormalities of the reproductive system.

These are the main indications for which an urgent type of surgical intervention is required. The indications for a planned operation are:

Endometriosis. After removal of endometrial adhesions, pregnancy occurs in 65% of cases.
Myoma of the uterus. In the initial stages of the disease, it is possible to carry out drug treatment, but if it does not give results, then surgical intervention is performed.
Infertility. Often, in the presence of adhesions in the fallopian tubes, it is possible to cure the pathology by laparoscopic surgery. Infertility is treatable, but it all depends on the cause of the disease.
Removal of fallopian tubes. After such an operation, a woman loses the possibility of conceiving a child.
Hysterectomy. A pathology in which the removal of the uterus is required, as a result of which the woman also loses the ability to reproduce.
Benign neoplasms. With an increase in the size of benign neoplasms, an operation is required to remove them.
Sterilization. During this operation, the woman loses the possibility of pregnancy. This procedure is useful if a woman does not want to become pregnant.

The presence of these indications requires laparoscopic intervention. Today, this method is very popular due to factors such as safety, high recovery time and efficiency.

The effect of laparoscopy on ovulation

The laparoscopy procedure does not adversely affect the ovulation process. Infertility is a pathology that, depending on the causes of occurrence, is subject to treatment. Surgery is resorted to in those exceptional cases when conservative treatment methods do not give positive results.

Laparoscopy is currently the preferred method of treatment. Laparoscopy allows you to cure infertility, the causes of which are associated with obstruction of the fallopian tubes or ovarian cysts. Through laparoscopic surgery, it is possible to carry out such manipulations:

Perform spot cauterization of the ovarian cyst.
Remove the affected area, while maintaining the integrity of the organ.
Make an incision in the ovary.

The last ovarian incision procedure is performed in cases where a woman is not ovulating. Through the intervention, you can normalize the hormonal background, thereby contributing to the appearance of ovulation. Ovulation can be prevented by high levels of androgen hormones in a woman's body. Their reduction allows you to restore the process of ovulation, saving the woman from the pathology of infertility.

Ovulation after laparoscopy with uterine obstruction occurs, but for a short period. After the operation, the formation of new adhesions is not excluded, which, in the presence of ovulation in a woman, will not lead to the conception of a child. In this case, the woman should re-contact the attending physician, which will require repeated intervention.

How to stimulate the ovulation process

In order to stimulate the process of ovulation, gonadotropic hormonal preparations are used before the laparoscopic examination. These hormones are also used after surgery. Ovulation occurs through these hormones. In the presence of cystic formations in the body, the production of hormones decreases, and by taking hormonal agents, their number is renewed.

The scheme for the use of hormonal drugs is as follows:

Initially, the patient is prescribed the hormonal drug Clostilbegit, which should be used for five days. You should start drinking the hormone from the third day of menstruation.
As soon as the follicle reaches a size of 17 mm, the doctor prescribes the next type of gonadotropin called Pregnyl.
After taking the drug Pregnil in women, the appearance of ovulation is observed after two days.
In the absence of positive results, that is, if ovulation does not occur, then laparoscopic intervention is prescribed.

It is important to know! Laparoscopy is prescribed for a woman only after the doctor is convinced that there are no infertility pathologies in the patient's permanent sexual partner.

If a woman has lost ovulation, then the cause should be sought in the gynecologist's office. Most pathologies of this type can be eliminated without laparoscopy. Even laparoscopy does not always eliminate the pathology, since everything depends on the causes of its occurrence. At the first signs of deviations, you should immediately contact the hospital, since in the early stages it is much easier to cure the pathology than with complications.

For the treatment of female infertility, which is provoked by polycystic ovary syndrome, ovulation stimulation is often used.

This is one of the constantly developed methods of pathology treatment regimens.

It allows a woman to conceive, bear and give birth to a healthy baby.

However, patients should understand that the effectiveness of treatment depends not only on a well-designed scheme for stimulating ovulatory processes by the doctor, but on the discipline of the woman herself.

It is necessary to strictly follow medical recommendations.

Essence of pathology

Every month, during the normal functioning of the ovaries in the body of a woman, a dominant follicle matures..

The follicle bursts and releases an egg that is ready for fertilization. If conception has not occurred, it is excreted from the body with menstrual blood.

With polycystic disease, the follicle does not rupture, but remains on the ovary, transforming into a cyst.

Thus, the egg cannot come out of it, which means that ovulation will not occur.

Such pathological processes develop under the influence of various factors, one of which is a violation in the work of the ovaries themselves, adrenal glands, pituitary gland and hypothalamus.

In some cases, the cause of polycystic disease can be a violation in the synthesis of pancreatic and thyroid hormones.

In addition, predisposing factors are:

hereditary predisposition;
excess weight;
frequent stress;
chronic infectious processes;
abortions;
lack of regular sexual life;
endocrine disorders;
inflammatory processes in the reproductive system.

Scientists have proven that the use of plastic containers for food storage can also contribute to the development of polycystic ovary syndrome.

Plastic releases substances that negatively affect sex hormones.

One of the main symptoms of polycystic disease with which women go to the doctor is the lack of conception.

Besides, signs of polycystic could be next:

male pattern hair
pigmentation, acne;
excessively oily skin;
menstrual disorders - delays, poor discharge, lack of menstruation, prolonged menstruation;
sudden weight gain.

Stimulation of ovulation

In order for the stimulation of ovulatory processes in PCOS to be effective, it is necessary to exclude other possible causes of the lack of conception.

Therefore, before starting treatment, a woman must undergo a thorough diagnosis, and her sexual partner should make a spermogram.

A woman needs to check the patency of the fallopian tubes in order to prevent the development of an ectopic pregnancy, and also to do an ultrasound scan several times to monitor the ovaries in dynamics.

The presence of failures in the maturation of the follicle is not always an indication for ovulation stimulation. If the follicle matures normally and reaches the required size, the problem can be solved with hCG injections. It is necessary to stimulate ovulatory processes only when the maturation of the follicle does not occur, or does not occur to the end.

After the woman undergoes a complete examination, and the doctor decides on the need to stimulate ovulation, treatment is prescribed, which provides for the following:

normalization of the monthly cycle;
stabilization of the hormonal background;
if necessary, adjust the weight;
strengthening the general condition of a woman and increasing immunity.

Medical therapy

The ovulation stimulation procedure consists of several stages.:

taking a medication;
on the 11th day of the cycle, an ultrasound is performed;
the introduction of a drug that promotes rupture of the follicle, after which sexual contact is necessary;
taking medications that will keep the pregnancy;
On the 18th day of the cycle, an ultrasound is performed.

The following medications are used:

Clostilbegit. This drug is an antiestrogen drug. Clostilbegit inhibits the active production of estrogen, promotes the normal maturation of the follicle, and also has a positive effect on the maturation of the egg. As a rule, treatment is carried out from the 5th to the 9th day of the menstrual cycle. After taking the first dose, it is necessary to do a control ultrasound to determine whether the follicle is increasing in size or not. Further, ultrasound should be performed regularly to monitor the growth of the follicle and the condition of the ovaries. When the follicle reaches the required size, the patient is given an injection of hCG, which is needed to break the walls of the follicle and release the egg to the outside. After the injection, ovulation occurs within 42-45 hours. Most women manage to conceive a child after one course of treatment, however, if there is no result, several more courses can be carried out. But more than 6 times in a lifetime it is impossible to carry out treatment with this drug.
Proginova. Often this drug is used together with the previous one. It balances the level of estrogen in the female body, and if it is not taken, then the secretion will thicken in the cervical region, and spermatozoa will not be able to penetrate through it. Proginova promotes the growth of the endothelial layer of the uterus, which is very important for the successful attachment of the fetal egg after fertilization. The drug is prescribed on the 5th day of the cycle, and lasts up to 21 days. In no case should Proginova be taken simultaneously with other drugs containing estrogen, as this can cause ovarian failure.
Gonal. This is a safer drug than Klostilbegit, it also regulates the menstrual cycle and restores hormonal levels. The drug is prescribed for admission from the first day of the cycle for a period of 7 days. As soon as the follicle reaches the desired size (monitored by ultrasound), the drug is canceled and an injection of hCG is given. If in a week the follicle has not grown to the desired size, therapy continues, but not more than one more week.
Menopur. For treatment, injections into the muscle are prescribed. At first, 1 vial per day is prescribed, but if there is no result, the doctor may increase the dosage. The drug helps to normalize the concentration of estrogens, however, before using it, it is extremely important to undergo a complete diagnosis so that ovarian hyperstimulation does not occur.

Contraindications and side effects

The main contraindications for stimulation of ovulatory processes are obstruction of the fallopian tubes and serious disruptions in the hormonal background.

Clostilbegit and other drugs based on clomiphene are contraindicated in the following cases:

renal and liver failure;
hypofunction of the pituitary gland, as well as neoplasms in it;
problems with the functionality of the adrenal glands;
adenomyosis;
endometriosis;
bleeding, the etiology of which is not clear;
any neoplasms in the genitals;
hyperplalactinemia;
lactation;
individual sensitivity to the components of the funds.

As for the side effects, they can be as follows:

vomit;
sleep disturbance;
dizziness;
increased sensitivity to bright light;
pain in the lower abdomen;
soreness and engorgement of the mammary glands.

Be sure to keep in mind that after ovulation stimulation, multiple pregnancy is possible..

In the course of treatment, several follicles can mature at once, and each egg can be fertilized during subsequent sexual intercourse.

Surgical methods

In addition to medications that can be used to stimulate ovulatory processes, it is possible to use surgical methods of stimulation.

For example, laparoscopy. This is the most effective method to enable a woman to become pregnant.

Laparoscopy is a minimally invasive operation performed under local or general anesthesia and has a short recovery period.

The surgeon makes several punctures in the abdominal cavity, where a camera is inserted to monitor the process, and the necessary tools.

Small incisions are made on the follicles, which contribute to its rupture and the release of a mature egg. The disadvantage of this procedure is the short-term effect.

If during the first two cycles a woman does not become pregnant, in the future the chances will decrease every month, and after a year they will again come to naught.

The fact is that the incisions on the follicles will grow together, which means that the gap will again be difficult.

Folk remedies

In some cases, it is possible to stimulate ovulation with the help of medicinal plants.

The most commonly used red brush, boron uterus, sage.

To prepare a remedy, you need to pour a tablespoon of vegetable raw materials with a glass of boiling water, insist, and take several times a day.

Moreover, sage should be taken in the first half of the menstrual cycle, and the boron uterus in the second.

Many women speak positively about the miraculous power of their rose decoction.. The drink is rich in vitamin E, which also has a positive effect on the conception of a baby.

To stimulate ovulation to be successful, you need to adjust your lifestyle.

proper nutrition;
normalization of weight;
increased immunity;
strengthening physical health;
rejection of bad habits.

Even if the first stimulation of ovulation was not successful, a healthy lifestyle will positively affect the next attempt to stimulate ovulatory processes.

Conclusion and Conclusions

Currently, doctors are developing more and more advanced ovulation stimulation schemes, that is, chances get pregnant and have a baby in a woman with polycystic constantly increasing. For example, women may decide to undergo IVF.

Therefore, you should not despair of failures - if treatment with medicinal herbs and medicines did not help, there is also laparoscopy, which in most cases has only positive and grateful reviews.

After giving birth, some women forget about polycystic ovaries forever, but, unfortunately, this is not always the case.

Most often, the pathology remains, and for the onset of the next pregnancy, stimulation of ovulation may again be required.

Source: https://zhenskoe-zdorovye.com/ginekologija/bolezni-yaichnikov/polikistoz-yaich/stimulyatsiya-ovulyatsii.html

Ovulation after laparoscopy

Many women who plan to become mothers in the future are worried about whether ovulation will occur after laparoscopy of the ovaries. This type of intervention is safe and effective, but problems with the release of the egg are often observed after.

Statistical figures indicate that ovulation disappears in every fifth woman after the operation. We are talking about those who develop infertility after laparoscopy of the ovaries.

In 30% of diagnoses, the operation is performed for the purpose of rehabilitation of reproductive functions.

What is laparoscopy?

There are two types of laparoscopic intervention - emergency and planned. Doctors resort to the first in a number of the following cases:

If we talk about the planned operation, then it is carried out with:

endometriosis. Once the adhesions are cleared, successful fertilization is guaranteed in 65% of attempts;
uterine myoma. If treatment with standard means does not bring results, then a surgical procedure is performed;
infertility;
removal of the fallopian tubes. If only one tube is removed, then fertility is preserved;
hysterectomy. With this diagnosis, the uterus is removed. The ability to reproduce is also lost;
benign formations. They must be removed if they grow to exorbitant sizes;
sterilization. The woman is unable to conceive.

Statistics show that the corresponding method is very popular. It is characterized by a fast recovery period, safety and efficacy.

When does the first ovulation start?

To begin with, it is worthwhile to figure out on which day of the menstrual cycle laparoscopy is done. Usually it is assigned at the beginning of the MC. Ovulation will occur after laparoscopy and whether the patient will maintain her reproductive capabilities depends on the goals. When important organs are removed, then the formation of the egg and its fertilization cannot be discussed.

When the procedure is carried out in order to directly eliminate the causes that interfere with conception, the follicle normally begins to develop in the first cycle. In this case, the operation will not affect the maturation of the NC in any way. The procedure helps:

cauterization of the cyst;
elimination of the affected part of the organ;
a small incision to normalize hormonal levels.

By the way, an operation to stimulate pregnancy is prescribed only after the future father undergoes a medical examination, the results of which show that he is absolutely healthy. Then it becomes clear that the problem lies in the woman.

Lack of ovulation

There are situations when there is no ovulation after laparoscopy. All causes are divided into two types - pathological and physiological. In some cases, the NC does not come out due to some problem. It can be problems with the heart, thyroid gland, uterus.

Striving for perfection, girls try to lose weight as much as possible. Going to these actions, they do not even suspect that a sharp decrease in weight is reflected in fertility.

When body weight is below normal, the follicular capsule simply does not form. As a result, problems with menstruation begin.
A similar situation occurs with excess weight.

With obesity, a hormonal imbalance is fixed, so the ovulatory period does not occur.

As for the physiological reasons, the maturation of the JC should not be expected by those who breastfeed newborns. This group also includes ladies who are over 40 years old. Then the lack of ovulation can be attributed to menopause.

Up to three anovulatory cycles are observed per year. The older the age, the more often the NC is not formed. In this regard, it is recommended to become pregnant before the age of 30.

Often the cause of failures is the use of hormonal drugs, such as birth control or those that contain estrogen.

Stimulation

Those who dream of experiencing the joy of motherhood as soon as possible turn to a gynecologist. If a problem is diagnosed, stimulation is often prescribed. However, when making such a decision, one must remember that an intervention is being carried out in the body. Preliminary it is required to undergo a detailed examination and pass comprehensive tests. Required to do:

HIV test;
folliculometry;
Ultrasound of the genital organs;
blood for hormones;
vaginal swab.

In medicine, there are several methods for stimulating ovulation. It is caused by various groups of medicines. The former contain the hormone of menopausal gonadotropin, the latter help to reduce estrogen, the third are based on FSH, the fourth are aimed at the timely rupture of the follicular capsule.

Statistical information says that all these methods are effective. After the first stage of treatment, pregnancy occurs in most patients. It is important that the corresponding procedure is not carried out 6 times in a row, as the ovaries may wear out.

Complications

Complications after surgery can be different. Abdominal pain, fever, postoperative infection are often observed. Some complain of vomiting, nausea, and bruising around the incision area.

Serious complications occur in 1 case per 1000. We are talking about damage to the intestines, bladder, large vessels, pelvic nerves, allergic reactions to drugs used in anesthesia.

findings

Thus, ovulation after laparoscopy of the ovaries in most cases is restored on its own. Surgery is performed to restore fertility. However, it also happens that ovulation does not occur. The reason for this is not the laparoscopy of the ovaries itself, but possible disruptions in the hormonal background.

Source: https://ovulyacia.ru/stimuljacija/ovuljacija-after-laparoskopii

Laparoscopic ovarian cauterization: features of the procedure, reviews. Cauterization of the ovaries to stimulate ovulation

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 for the treatment and diagnosis of various diseases. Before the advent of this technique, doctors performed a laparotomy: a layer-by-layer incision of the peritoneum. With the development of medicine, it became possible to use low-traumatic methods that do not cause negative consequences.

Laparoscopic surgery allows intervention 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 this 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 the 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 preparation is made.

Cauterization of the ovaries: description of the method

This method is not used as often as some of the ones listed 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 the laser execution of notches at the locations of the cysts. 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 disbalance. When the sex glands do not respond to the production of hormones, or the latter are secreted in insufficient quantities. Most of the time, it's the luteinizing hormone.
Too dense shell of the ovaries. 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 certain contraindications 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 can be called: age, history of operations, obesity, blood diseases, infectious diseases, malignant tumors, late or early pregnancy.

How to prepare?

Cauterization of the ovaries, 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. Research is assigned as follows:

KLA, OAM, blood test for HIV, hepatitis and syphilis;
determination of blood group and Rh factor;
study of the 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 18 pm. You can drink water until 22:00.

If you have problems with stool regularity, be sure to take laxatives. 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 starting 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 have begun 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 raises the abdominal wall.

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 carried out, the instruments are removed and the holes are sutured.

Recovery period

For several days, the patient should remain under the supervision of physicians. 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 at the scheduled time.

A woman is allowed to stand up after 4 hours after the operation. 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. Medical treatment is prescribed as needed.

Questions that women often have

Many patients wonder if ovarian cauterization is considered the first day of the cycle. No, if gynecological curettage of the uterine cavity has not been performed.
Is it necessary to observe sexual rest after manipulation? Yes, you must abstain from sex for two weeks.
How soon is pregnancy possible after ovarian cauterization? You can plan conception in 2-3 months, if there are no other contraindications and the need for medical treatment.
Is there pain during manipulation? 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 does discomfort occur 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. Those who have become pregnant in this way are said to have 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 method. 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.