Getting pregnant after laparoscopy. Painful ovulation: normal or pathological? After laparoscopy when ovulation occurs

Laparoscopy- a modern, minimally invasive method of surgery, in which the surgeon makes several small holes in the abdominal cavity, with their help, the doctor performs diagnostic and therapeutic measures.

Currently, this type of access is used in the diagnosis of many diseases and is widely used, since it is less traumatic, requires a shorter recovery period, and does not leave scars.

Despite its advantages, laparoscopy is a surgical intervention, therefore, it has some limitations in the postoperative period. The patient requires special nutrition, hospital stay, restriction of physical activity. Carrying a child is stressful for the mother's body, therefore pregnancy after laparoscopy possible but after a certain amount of time after the operation.

Indications and contraindications

Laparoscopy is a method of surgical intervention, which has its pros and cons. The positive aspects of this type of surgery include a quick recovery of intestinal functioning, a shorter stay in the hospital, and a decrease in pain and scars.

Another advantage of laparoscopy is the expansion of the surgeon's view, since special equipment is used during the operation, which magnifies the image by 20 or more times.

The disadvantages of laparoscopy include the complexity of its implementation, this operation requires special skills from the surgeon. With such an intervention, there is no sense of depth, the doctor's range of motion narrows. The laparoscopy specialist must have developed "non-intuitive" skills, since the blade of the instrument is directed in the opposite direction from the hands.

At the present stage of medicine, laparoscopy is used for many diseases, including gynecological ones. Planned operations of this type are used for the following pathologies:

cysts, tumors, polycystic ovaries;
proliferation of the epithelium of the uterus polyps;
chronic pelvic pain;
myoma, adenomatosis of the uterus;
adhesive process in the fallopian tubes.

Laparoscopy is also carried out according to emergency indications: with tubal pregnancy, ovarian apoplexy, appendicitis and other acute diseases of the abdominal cavity and small pelvis. Among the main contraindications to this type of surgical interventions are the patient's serious condition, severe obesity and oncological diseases of parenchymal organs (liver, kidneys, etc.).

Rehabilitation after laparoscopy:

Postoperative period

Usually laparoscopy is done under general anesthesia, the patient wakes up 2-3 hours after the operation. At this time, he may experience pain in the area of punctures, painkillers (Ketorol, Diclofenac) are used to stop them. Also, the patient may experience vomiting, nausea, dizziness, discomfort in the throat from the tube - the consequences of anesthesia.

It is recommended to get up at least 8 hours after the operation. and only when needed. Patients receive prophylactic therapy with broad-spectrum antibiotics. Postoperative sutures are removed after a week, until this time you should not take a bath, lift things more than 3 kilograms. It is not recommended to have sexual intercourse for 2 weeks, you can return to sports activities after a month.

The first day after laparoscopy is not recommended to eat, only water without gas is allowed. The next day, broths and soft cereals should be included in the diet. The first 5 days you need to limit the consumption of fresh vegetables and fruits, all food should be steamed. Within 1 month after the operation, it is not recommended to eat fried, smoked, spicy food.

Scars after 4 months from the date of laparoscopy:

Pregnancy after laparoscopy

Laparoscopy cannot be the cause of female infertility; after its implementation, the chances of pregnancy do not decrease, and sometimes even increase. According to statistics within a year after this operation, 85% of patients manage to conceive a child. The remaining 15% have pathologies not associated with surgery.

Approximately 15% of women who undergo laparoscopy become pregnant a month later. Another 20% of patients manage to conceive a child in the interval from six months to a year after the operation. The rest of the women become pregnant within 2 to 6 months.

Attention! The time after which a woman should try to conceive a child depends on her condition and diagnosis, so she should follow the doctor's recommendations in this matter.

Pregnancy after laparoscopy of the fallopian tubes for adhesions is possible 4 weeks after the operation. With this operation, the greatest probability of its occurrence is up to three months after surgery. Later, a recurrence of the pathology is possible. If a woman underwent laparoscopy for a tubal pregnancy, she is recommended to postpone the next attempt for 2-3 months, since the body needs time to recover.

Planning a pregnancy after laparoscopy to remove an ovarian cyst should be no earlier than a month later, the exact timing depends on the condition of the woman. Usually, the organ resumes its functioning after a few days, but if this period is lengthened, attempts to conceive a child should be slightly postponed. With laparoscopy of the ovary for infertility against the background of polycystic, pregnancy should be planned in the next menstrual cycle. At later dates, there is a high probability of relapse.

Attempts to conceive a child during laparoscopic interventions due to uterine fibroids should begin at least one month after the operation. The body needs time to restore its functions and structure. Sometimes this period may increase, to clarify the recommendations, a woman needs to consult with her doctor.

With laparoscopy of endometriosis, the doctor cauterizes pathological areas in the uterine epithelium. For their healing, a certain period of time is required, it depends on the size of the focus and the localization of the process. On average, pregnancy planning after this intervention should be started after 2 months, more specific terms are determined by the doctor.

Planning for pregnancy after laparoscopic interventions for appendicitis, cholecystitis and other acute diseases should begin at least 2 months after the operation. The body must return to a physiological state after suffering a pathology that causes inflammatory reactions and changes in the functioning of all systems.

With some diseases (adhesions in the fallopian tubes, polycystic ovaries), a woman needs to conceive a child as soon as possible, since a relapse of the disease is possible after 2-3 months. But most often, the expectant mother has no time limits, but she wants to get pregnant in the near future. There are 4 rules that will help a woman conceive a long-awaited child after a surgical operation:

#one. Calculate ovulation. There are 2-3 days in the menstrual cycle when the egg is ready to fuse with the sperm. In order not to miss ovulation, a woman is recommended to use the calendar method, or a special test.

#2. Have sexual intercourse every 2 days. With too frequent intimacy, spermatozoa do not have time to accumulate in the right amount.

#3. Live a healthy life. When planning a child, you should follow proper nutrition, stop using nicotine and alcohol.

#4. Do not get out of bed for 30 minutes after intercourse. When a woman is in a horizontal position, there is a high probability of sperm from the vagina entering the uterus and fallopian tubes.

Many patients fear that pregnancy after laparoscopy is unlikely or will pass with complications. However, it is not. The procedure is carried out just to eliminate the factors that caused infertility. True, there is no need to rush to have a baby - the body needs time to recover. How much depends on the type of intervention, the type of pathology and the individual characteristics of the woman.

Laparoscopy does not affect a woman's ability to become pregnant. This is a gentle operation, during which the tissues of the internal organs are minimally damaged. On the contrary, the procedure is aimed at getting rid of pathologies with which it is difficult to conceive a baby.

However, in 15% of cases, after gynecological laparoscopy, it is not possible to become pregnant. The problem is not in the operation, but in the diseases that the patient had before the procedure. Difficulties arise with unsuccessful treatment or neglect of the doctor's recommendations.

Important! If pregnancy has not occurred within 1 - 1.5 years, gynecologists recommend artificial insemination.

Pregnancy after laparoscopy passes without complications - just like in healthy women. Also, surgery is not a direct reason for a caesarean section. Each situation is considered individually. The exception is operations on the uterus. After them, scars remain, which can cause a rupture during childbirth.
In some cases, women in labor experience complications. Among them:

early bleeding after childbirth;
protracted childbirth;
subinvolution of the uterus;
birth anomalies.

However, all the negative consequences do not appear due to laparoscopy, but due to diseases that required surgical intervention and prevented pregnancy.

When Can I Get Pregnant After Laparoscopy?

There are no exact dates when you can start planning a pregnancy after laparoscopy. It all depends on:

type of disease;
what kind of operation was performed;
How did the surgery go?
were there any complications?
patient's age;
timing of last ovulation.

Additional Information! Even in the most favorable situations, you can have a baby not earlier than after 1 - 1.5 months. So much time is taken by the rehabilitation period, during which intimacy is contraindicated.

The chances of a woman getting pregnant after laparoscopy are very high. The percentage of patients who conceived a child within a year is 85%. Statistics say that of them:

20% got pregnant in the first 3 months;
20% became pregnant between 3 and 5 months after laparoscopy;
30% - in six months;
15% - after a year.

Important factors for successful conception are the correctness of the prescribed treatment and the patient's compliance with the doctor's prescriptions. It is necessary to strictly follow the therapeutic plan, follow all the recommendations, take the prescribed drugs.
On average, planning to have a baby is recommended 3 months after laparoscopy. If pregnancy occurred earlier, for example, in the first cycle, constant monitoring in the hospital and medical supervision is necessary.

After ovarian cyst removal

Laparoscopy of an ovarian cyst is one of the most sparing manipulations. The formation is carefully exfoliated without touching healthy tissue. Primary recovery occurs quickly - in 7 - 10 days.

However, the main rehabilitation and tissue healing takes 4 weeks after the operation. Only after this period is it allowed to have sex. But pregnancy is advised to be postponed for at least 3 months, preferably for six months, since it takes time to restore the functions of organs and hormonal levels. In addition, the patient from 3 to 6 months should drink oral contraceptives. They will help regulate the balance of hormones and give the ovaries a rest.

If conception occurs in the first 3 months after surgery, there is a high probability of complications - including ectopic pregnancy and miscarriage. In this case, a thorough examination and constant monitoring by a doctor is necessary.

After polycystic ovaries

Planning for pregnancy after laparoscopy of the ovaries with polycystic disease should be started as early as possible - at the end of the recovery period. This is due to the fact that with such a diagnosis, a woman can become pregnant within 12 months. Further, the chances are rapidly decreasing.

When diagnosing polycystic ovary syndrome (PCOS), a patient has a large number of cysts. They are removed by dissection of the capsules of the formations.

It is desirable that pregnancy occurs 1 to 3 months after laparoscopy for PCOS, since ovulation is restored for a short time - up to 1 year. Also in the future, sclerocystosis is likely (degeneration of the ovaries with the formation of numerous small cysts). In 30% of cases, it leads to persistent infertility.

After tubal obstruction

If laparoscopy of the fallopian tubes was performed in order to dissect adhesions, then you need to have a baby no earlier than after 3 months.

During surgery, the fallopian tubes are ligated to remove the obstruction. They remain edematous for another whole month. A full recovery occurs in 3 months.

Important! Although hydrosalpinx (blockage of the fallopian tubes) significantly reduces a woman's chances of giving birth to a baby, you should not rush. Early conception can lead to an ectopic pregnancy.

To allow the ovaries to rest and the fallopian tubes to recover, combined hormonal preparations are prescribed during the rehabilitation period. Only after the completion of drug treatment can you think about pregnancy.

After an ectopic pregnancy

You can have a baby after an ectopic pregnancy only after six months. Until then, attempts are strictly prohibited.
After such a severe pathological condition, the body needs a long rest. A complete restoration of the hormonal status is necessary. Otherwise, there is a high risk of re-abnormal attachment of the fetal egg.

Additional Information! The fertilized egg is removed by extrusion or extirpation (trubectomy) of the fallopian tube. Regardless of the surgical method of treatment, the possibility of getting pregnant is quite high.

During rehabilitation, hormonal drugs are prescribed. According to indications, they are replaced by oral contraceptives. OK is preferable, as they save a woman from premature pregnancy.

After removal of uterine fibroids

Pregnancy after laparoscopy of uterine fibroids (myomectomy) is allowed after 6 to 8 months. The operation is performed to eliminate nodes and neoplasms by cutting them off from the organ. Despite the sparing technique, it will take at least six months to form a full-fledged scar.

Important! If pregnancy occurs earlier, then there is a high probability of rupture of a scar that has not yet fully healed, which will lead to the removal of the uterus.

Within six months - a year, the patient is prescribed a course of combined hormonal agents and symptomatic drugs (painkillers, multivitamin complexes, medicines for uterine contraction). It is also necessary to regularly conduct ultrasound.

The most positive forecasts for the extraction of subserous (benign) fibroids. Moreover, laparoscopy in this case is an extreme measure. The formation is hormone-sensitive, therefore it lends itself well to conservative treatment.

After endometriosis

Endometriosis or endometrioid ovarian cyst is a cavity formation consisting of endometrial cells and filled with accumulated menstrual blood. In addition to surgical intervention aimed at removing the capsule and dissecting adhesions, long-term hormone therapy is required.

With laparoscopy of an endometrioid ovarian cyst, it is desirable that pregnancy occurs as early as possible. It has been proven that it inhibits the growth of foci of pathological formation and prevents the appearance of new ones.
However, pregnancy should be planned after the end of full treatment. It lasts from 3 to 6 months.

Complications and causes of failure

If you become pregnant immediately after laparoscopy, the following complications are likely to develop:

miscarriage in the first months of pregnancy - happens after laparoscopy treatment for polycystic ovaries;
placental insufficiency - it is preceded by the restoration of the patency of the fallopian tubes adhesions in the small pelvis;
inflammatory and infectious processes - develop due to a reduced level of immunity after surgery, may be complicated by polyhydramnios, fetoplacental insufficiency;
improper presentation of the fetus - after the removal of myomatous nodes.

Therefore, the patient should be constantly monitored by the attending physician, take clinical tests (urine, blood, smears), and conduct an ultrasound examination.

Unsuccessful attempts to get pregnant are explained by 2 main factors:

endometriosis;
anovulatory cycles.

To exclude them, it is necessary to track ovulatory cycles, measure basal temperature from the first month.
Also, the likelihood of pregnancy is affected by:

unstable hormonal background;
immune abnormalities leading to the destruction of spermatozoa;
severe underweight or overweight.

To identify and eliminate these causes, you need to contact a doctor who deals with a specific problem - an immunologist, a nutritionist, an endocrinologist.

Why there is no ovulation after laparoscopy

The menstrual cycle during endoscopic surgery is restored quickly. Ovulation after laparoscopy occurs in the first month. This applies to operations that were performed to eliminate the causes of infertility. If vital organs were removed, then we are not talking about a normal pregnancy. The same is true in the presence of other pathologies leading to infertility.

The first days a woman can observe bloody discharge from the vagina. They are considered normal, especially if the operation was performed on the ovaries. The leucorrhoea can last up to 3 weeks, after which it smoothly flows into menstruation.

Additional Information! During operations on the uterus and appendages, menstruation may be delayed by 3 to 21 days. It’s worth worrying if they haven’t gone after 3 weeks.

If there is no ovulation after laparoscopy, the reasons may be:

Systemic pathologies. Pregnancy is negatively affected by deviations in the work of the endocrine and cardiovascular systems, other diseases of the uterus and appendages.
Underweight. The desire to lose weight, with the wrong approach, negatively affects reproductive function. Lack of mass provokes the absence of ovulation.
Obesity. Just like an acute lack of weight, its excess is fraught with hormonal imbalances, deviations in the ovulatory cycle. We are talking about diagnosed obesity - no need to try by any means to lose a few extra pounds. If necessary, weight loss is supervised by a doctor.
Lactation. If a woman is breastfeeding, then ovulation is excluded.
Taking hormonal drugs. They are prescribed for elimination and as maintenance therapy in the treatment of pathologies of the pelvic organs. Estrogen-containing drugs suppress ovulation especially strongly. You don't have to stop taking medication to get pregnant faster. Indications and contraindications for their reception are determined exclusively by the doctor. Spontaneous failure provokes relapses of the disease and complications in bearing a child.
Early climax. It can start in women over 40 years of age.
"Empty" cycles. On average, girls have 1-2 cycles a year without ovulation. Their number increases after 30 years.

For any of the above problems, a comprehensive examination is prescribed. It is necessary to identify pathological causes and determine the ovarian reserve. If necessary, drug stimulation of ovulation is prescribed with drugs from one of the 4 groups:

containing hormones of menopausal gonadotropin - "Menopur", "Menogon", "Pergonal";
which contain follicle-stimulating hormone (FSH) - are considered the most gentle, as they are as close as possible to natural hormones, among such drugs are Puregon, Gonal-f;
reducing estrogen levels - "Klostilbegit", "Dufaston", "Serofen", "Clomid";
contributing to the rupture of the follicle and the release of the egg - "Horagon", "Profazi", "Pregnil", "Ovitrelle".

After the first stimulation of ovulation, pregnancy occurs in 75% of women. However, the procedure is not prescribed more than 6 times in a row, as it is fraught with numerous complications:

wear and tear of the ovaries;
weight gain;
malfunction of the digestive organs;
the formation of cysts;
disorders of the central nervous system;
hormonal disruptions.

How to speed up conception after laparoscopy

In order to successfully become pregnant after laparoscopy and bear a fetus, it is necessary to undergo a series of examinations:

general clinical tests - blood, urine and smears (from the vagina, cervix, urethra);
ultrasound diagnostics;
tests that detect hormone levels;
tests for genital infections;
additional examinations if necessary - ultrasound of the mammary glands, colposcopy, etc.

It is also necessary to regularly visit a gynecologist and genetics. Moreover, consultation and examination is necessary for both partners.

track the cycle - the highest chances of fertilizing the egg during ovulation, you can calculate it using the calendar method, using tests, or track the moment the egg leaves the ovary with ultrasound diagnostics;
drink vitamins - 3 months before the planned pregnancy, you need to start taking folic acid (vitamin B9);
give up bad habits - at least 2 months before pregnancy, you need to stop smoking and drinking, this advice applies to both partners;
lead a healthy lifestyle - a regular schedule of sleep and rest, proper nutrition and regular physical activity will help to conceive a child sooner;
eliminate stress as much as possible;
do not get hung up - constant unsuccessful attempts to quickly get pregnant after laparoscopy also act as a stress factor and affect conception;
after sexual intercourse is over, lie down in a horizontal position for 15 minutes - this will increase the likelihood of pregnancy;
do not overdo it - it takes time for the maximum concentration of spermatozoa, it is recommended to have sex once every 2 days.

If a healthy couple does not become pregnant after six months of active attempts, you should consult a doctor. It will help to identify and eliminate the causative factor.

Is laparoscopy possible during pregnancy?

Laparoscopy during pregnancy is prescribed according to strict indications for:

cysts;
malignant formations;
twisting of the ovary or myomatous node;
necrosis of the myomatous node;
appendix.

Minimally invasive endoscopic surgery is considered the safest type of surgery. It is the safest for mother and child. However, complications are not excluded:

rupture or damage to the uterus;
tachycardia and hypertension;
pleurisy;
thromboembolism.

Important! Laparoscopy during pregnancy, like any treatment, is prescribed only if there are serious threats to the health of the mother - those that will exceed the possible consequences for the fetus.

The second trimester is considered optimal for the operation, when the child's organs have already formed, and the size of the uterus is relatively small. But if necessary, laparoscopy is done for pregnant women at any time.

Laparoscopy does not reduce a woman's chances of pregnancy and the birth of a healthy baby. According to statistics, in the period up to a year after the operation, conception occurs in 85% of patients, and 62% of them give birth naturally without any complications. In addition, this type of surgical intervention is the most gentle and can be performed even during gestation.

Collapse

Laparoscopy is performed on women who have diseases of the female genital organs. This is the safest method of surgical intervention, which almost does not entail negative health consequences. This method is the introduction of a laparoscope through a small incision in the abdominal cavity. Afterwards, carbon dioxide is injected into the peritoneum to separate the organs from the abdominal surface and broaden the horizon for the sensor with the camera. A picture is displayed on the screen, and the doctor begins to manipulate.

What to expect after the operation? Can a woman count on the arrival of ovulation, or will she have to stimulate this process? Let's deal with these questions in order.

When does ovulation occur after laparoscopy?

To begin with, let's figure out on what day of the cycle laparoscopy is done and to whom it is shown.

This operation is usually done at the beginning of the cycle. Interestingly, according to statistics, 30% of all laparoscopies are performed to treat infertility. Therefore, a woman after this operation immediately dreams of becoming pregnant. In what other cases is this surgical intervention indicated?

Emergency laparoscopy:

ectopic pregnancy;
rupture of an ovarian cyst;
pathology of the pelvic organs.

Planned laparoscopy:

Treatment of endometriosis and elimination of endometrial adhesions;
elimination of tumors and fibroids in the uterus;
with pathology of the fallopian tubes, they are removed, and the woman after that will not be able to have children;
removal of the uterus, which also leads to the inability to have children;
benign neoplasms;
sterilization with a laparoscope.

Of course, whether ovulation occurs, and whether there are chances of bearing and having a baby, depends on the purpose of the operation. If a woman is removed important reproductive organs, then there can be no talk of any ovulation and pregnancy.

As for laparoscopy in order to eliminate the causes that prevent pregnancy, according to statistics, ovulation occurs in the very first cycle after surgery. This operation will not negatively affect the maturation of the egg, unless, of course, the problem of infertility lies somewhere deep, and it cannot be cured with laparoscopy.

How does the laparoscopy process positively affect the release of the egg from the follicle? During this procedure, you can perform the following actions:

point burn a cyst on the ovary, which prevents conception;
eliminate the affected area of the organ, while preserving the entire organ;
make an incision in the ovary. This process is performed in the absence of ovulation. So the hormonal background is normalized, and ovulation comes in the shortest possible time.

As you can see, if a woman does not have any concomitant diseases leading to infertility, then laparoscopy will not affect the process of egg development and pregnancy in any way.

If such a manipulation is carried out with the aim of becoming pregnant, then it will be carried out only after it is precisely decided that the partner does not have infertility. Otherwise, the procedure will not bring results.

But what if, after such surgical manipulations, ovulation did not occur? There are a number of reasons for this.

Reasons for absence

As we found out earlier, laparoscopy does not adversely affect this process. So why ovulation may not occur after a laparoscopy? Reasons can be of two types:

Pathological. Unfortunately, in some cases, a woman cannot become pregnant during the release of the egg due to the presence of diseases and pathologies. For example, thyroid disease, cardiovascular disease, uterine disease. In addition, in recent years, girls are trying to lose weight as much as possible. Interestingly, many do not even suspect that excessive thinness can deprive a woman of motherhood. With a lack of weight in the body, ovulation simply does not occur. As a result, the woman has problems with the menstrual cycle. Same with being overweight. With obesity, the hormonal balance is disturbed and the woman does not go through the ovulatory period. Therefore, laparoscopy in this case will not help to get pregnant. If you suspect that the lack of ovulation is associated with pathologies, contact an endocrinologist for advice.
Physiological. Egg maturation should not be expected by women who are breastfeeding. In addition, those who are over the age of 40 can safely attribute the lack of ovulation to the onset of menopause. Another interesting point related to age. On average, a young girl has 1-2 cycles a year without ovulation. The closer she approaches the age of 30, the more such gaps between the maturation of eggs. That is why, the older the woman, the harder it will be for her to get pregnant, even if her sex life is regular.

In addition to these factors, the lack of egg maturation is due to the use of hormonal drugs. These can be birth control pills or medicines that contain estrogens. They suppress ovulation.

How to stimulate the process?

Those who want to get pregnant as soon as possible after laparoscopy, and ovulation still does not come, decide to contact the doctor for the appointment of a stimulation scheme. This process is quite well-known and applicable today, but it is important to remember that this is an intervention in the body. Therefore, before proceeding, you should undergo a course of research and analysis. So the doctor will make sure that the stimulation will benefit and not harm.

First of all, the therapist must conclude that the woman has no contraindications for pregnancy, such as serious illnesses.
cardiogram of the heart;
Ultrasound of female organs and breasts;
folliculometry;
analysis for the presence of antibodies to HIV;
crops for the presence of sexually transmitted diseases;
PCR - examination;
smear from the vagina;
hormonal analysis.

After such a comprehensive examination, the doctor determines the ovarian reserve and prescribes a hyperovulation scheme. What are these schemes?

There are 4 main groups.

Is it efficient? Yes. According to statistics, 75% of women become pregnant after the first stimulation. It is important not to carry out this procedure more than 6 times in a row. This contributes to the wear of the ovaries.

Is it safe? This stimulation has a number of side effects:

Weight gain;
stomach problems;
cysts on the ovaries;
problems with the central nervous system;
hormonal disruptions.

But if a woman manages to conceive a child with the help of stimulation, then she has every chance of giving birth to a healthy child normally.

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Laparoscopy of the ovaries is prescribed for cysts, ectopic pregnancy, inflammation. Nulliparous patients are worried about whether ovulation will occur after surgery. Statistics say that egg maturation stops in every fifth girl after laparoscopy.

What it is?

There are two types of laparoscopic intervention - emergency and planned. Doctors perform emergency surgery in the following cases:

rupture of an ovarian cyst;
pathology of the reproductive system.

Reference! During laparoscopy, several micro-incisions are made. A laparoscope with a video camera at the end is inserted into one of them, and a manipulator into the other. Carbon dioxide is released into the abdominal cavity to separate the organs from the abdominal surface for better vision.

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

removal of adhesions;
uterine myoma;
infertility;
PCOS;
removal of the fallopian tubes;
hysterectomy;
formations of a benign type;
sterilization.

Laparoscopy is a popular method of operation, because the recovery period is short, and the sutures are less noticeable due to their small size.

When will the first ovulation be?

Ovulation will occur after laparoscopy and whether the patient retains her reproductive capabilities depends on the goals of the operation. When the uterus or both ovaries are removed, the woman, of course, will not be able to become pregnant.

When the procedure is carried out in order to eliminate the causes that prevent conception, the follicle normally begins to develop in the very first cycle after the intervention. In this case, the operation will not affect the maturation of the egg in any way.

Based on this, it can be understood that laparoscopy does not affect the maturation of the egg and the onset of ovulation, if there are no concomitant diseases that cause infertility. Some women complain that ovulation becomes painful after surgery.

Reference! By the way, laparoscopy of the ovaries for the purpose of conception 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.

Reasons for absence

There are situations when there is no ovulation after laparoscopy. All causes are divided into two types - pathological and physiological. In some cases, the egg does not mature due to some problem. It can be diseases of 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 follicle simply does not form. As a result, problems with menstruation begin.

Important! A similar situation occurs with excess weight. With obesity, there is a hormonal imbalance, sometimes because of this, polycystic disease occurs, so the ovulatory period does not occur.

As for physiological reasons, ovulation should not be expected for girls who are breastfeeding. This group also includes women who. Then the lack of ovulation can be attributed to menopause.

Every woman has up to three anovulatory cycles per year. The older you are, the more often an egg 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 or those that contain estrogen.

Stimulation

If ovulation has not occurred after the operation, you need to consult a doctor. First, he will prescribe a course of tests and studies that will confirm that a woman can become pregnant and this will not harm her. You need to do an ultrasound of the pelvis, take a blood test for hormones. This is the first stage of stimulation - preparatory.

At the second stage, the hormonal imbalance is restored, if it is present. If the patient is overweight or, conversely, underweight, then a program for adjusting body weight is prescribed. Often, already at this stage, a woman becomes pregnant, it is enough just to put her health in order.

The third stage is the stimulation itself with medications. There are several basic schemes, the gynecologist selects the protocol individually, adjusting to a specific patient. The anamnesis, age, weight of the woman are taken into account. Also, in some cases, the doctor may prescribe a second laparoscopy.

Important! You can stimulate the ovaries a maximum of three times in a row. They need rest to recover. Otherwise, there may be depletion of the ovaries.

In total, a woman can do up to six stimulations in her entire life. If this does not help the couple to have children, then this method is recognized as ineffective and other methods are offered: surrogate motherhood, donor eggs, IVF. The proposed method depends on the problems of a particular pair.

Unfortunately, stimulation of egg maturation also has side effects: weight gain, hormonal disorders,. The most serious consequence is hyperstimulation syndrome.

What needs to be remembered?

Ovulation after laparoscopy of the ovaries in most cases is restored on its own.
If everything is in order, then the egg matures already in the first cycle after the operation, which means that you can get pregnant.
Ovulation after laparoscopy may be absent due to excess weight, hormonal failure, poor-quality operation.
If ovulation does not occur, the gynecologist prescribes an ovarian stimulation protocol.
A maximum of three stimulations in a row can be done.

Literature

Gynecology: national leadership / ed.: V. I. Kulakov, I. B. Manukhin, G. M. Savelyeva. - M.: GEOTAR-Media, 2011. - 1088 p.
Endoscopy in gynecology / V. I. Kulakov, L. V. Adamyan. - M.: Medicine, 2000. - 384 p.
Puchkov K. V., Politova A. K. Laparoscopic operations in gynecology: monograph. - M.: MEDPRAKTIKA, 2005. - 212 p.