Surgery

For some people, a structural problem can be treated surgically. Treatment can increase the chances of natural conception.

When considering surgery, ask your doctor questions about the procedure. For example, how many times has the surgeon done the procedure? What are your chances of treatment success? How long will it take to recover?

In cases of severely blocked fallopian tubes, your doctor may advise you to skip surgery and have in vitro fertilization (IVF). IVF is also often recommended first for women over 34 (regardless of the type of blockage). This is because tubal surgery and natural conception may use up precious time if in vitro fertilization might be used later.

Fertility Problems: Should I Have a Tubal Procedure or In Vitro Fertilization?

Surgery choices

For men:

• Varicocele repair, to cut or bypass an enlarged vein in the scrotum
• Vasectomy reversal

For women:

• Fallopian tube procedures, including sterilization reversal
• Laparoscopic surgery for endometriosis
• Myomectomy for uterine fibroids
• Laparoscopic ovarian drilling, when weight loss and medicine haven't stimulated ovulation in women who have polycystic ovary syndrome