Laparoscopy & Hysteroscopy in Chennai

Yes. Laparoscopic excision of endometriosis — particularly when it involves the ovaries (endometriomas) or distorts tubal and pelvic anatomy — has been shown to improve natural conception rates and IVF outcomes. The extent of improvement depends on the stage and location of endometriosis, which Dr. Rukkayal will discuss with you based on intraoperative findings.

Most patients can resume fertility treatment within one to two menstrual cycles after laparoscopy. In some cases, particularly after minor procedures like polyp removal via hysteroscopy, treatment can resume in the very next cycle. The timeline is individualised based on the procedure performed and your recovery.

Hysteroscopy and straightforward diagnostic laparoscopy are typically day-care procedures with same-day discharge. More extensive operative laparoscopy (such as large cyst removal or advanced endometriosis excision) may require an overnight stay for observation. You will know the expected plan before your procedure.

Yes. During laparoscopy, a coloured dye is passed through the uterus and tubes (chromopertubation). If the dye spills freely from the ends of the tubes, they are confirmed as open. This is considered more accurate than an HSG (hysterosalpingography) X-ray test and has the advantage of allowing treatment if a problem is found.

Not all fibroids require removal before IVF. Submucosal fibroids (those growing into the uterine cavity) and large intramural fibroids that distort the cavity are the types most likely to affect implantation and should be removed. Smaller fibroids that do not distort the cavity are usually monitored rather than surgically addressed. Dr. Rukkayal will review your specific scan findings to advise accordingly.

Recovery after hysteroscopy is rapid since there are no abdominal incisions. Most women experience mild cramping for a few hours and light spotting for one to two days. You can typically return to normal activities within 24 to 48 hours. Strenuous exercise is best avoided for about a week.

Yes. Intrauterine adhesions (Asherman syndrome) are one of the primary indications for operative hysteroscopy. The adhesions are carefully divided under direct vision, restoring the normal shape and lining of the uterine cavity. Post-procedure, a short course of oestrogen therapy is often prescribed to promote healthy endometrial regeneration.

For most ovarian cysts encountered in fertility patients, laparoscopy is the preferred approach. It offers smaller incisions, less post-operative pain, shorter hospital stay, faster recovery, and importantly, better preservation of healthy ovarian tissue — which is critical when future fertility is a consideration. Open surgery is reserved for very large cysts or suspected malignancy.

Yes, combining laparoscopy and hysteroscopy in a single session under one anaesthesia is a common and efficient approach. This allows Dr. Rukkayal to evaluate the external pelvic anatomy and the internal uterine cavity in the same procedure, providing a complete picture of your reproductive tract without the need for two separate surgeries. The combined approach is particularly useful when both tubal assessment and uterine cavity evaluation are needed as part of a fertility workup.

In many cases, the post-operative fertility window is one of the best times to try conceiving. After procedures such as endometriosis excision, adhesion removal, or tubal treatment, natural conception rates are typically highest within the first 3 to 6 months following surgery. Dr. Rukkayal will advise you on the ideal timing based on your specific procedure and recovery, and may recommend starting fertility treatment such as IUI or IVF within this window to take advantage of the improved pelvic environment.