Reproductive Surgery What is a Reproductive Surgeon? Some causes of infertility or recurrent miscarriage can be overcome with surgery. In addition, women with or without infertility can encounter various benign gynecologic conditions that may pose serious threats to their reproductive function. In such cases, choosing a surgeon whose primary focus is to restore or maintain a woman’s ability to become pregnant is of utmost importance. A reproductive surgeon is a fellowship-trained reproductive endocrinologist who specializes in minimally invasive surgery and operates by two simple principles: Every surgical procedure is accurately planned in view of the current and foreseeable reproductive needs of the particular patient, and Any surgical procedures that are not absolutely essential to enhance a patient’s fertility are carefully avoided. Working with a knowledgeable reproductive surgeon who is able to adhere to these principles through a detailed understanding of the reproductive system, and the appropriate application of specialized techniques, can be a vital part of realizing your dream of starting a family. Minimally Invasive Surgery At Strong Fertility Center, our primary goal is to give you the best possible surgical result using the least invasive procedure possible. Minimally invasive surgery uses specialized instruments, miniature cameras equipped with microscopes, fiber-optic lights, and high-definition monitors to perform conventional surgeries through tiny incisions or through natural orifices (the cervix, in our case). Several conditions that occur inside the uterus, such as myomas (also known as fibroids), polyps, scar tissue, and developmental abnormalities, can be corrected with hysteroscopic surgery. This type of surgery, in which patients typically go home the same day, introduces a small camera and instruments through the cervix without any incisions. Other abnormalities of the reproductive tract, such as larger fibroids, endometriosis, scar tissue formation (adhesions), ovarian cysts, or damaged fallopian tubes (from scar tissue or prior tubal ligation), can often be repaired with laparoscopic surgery, using two to three small incisions (one-quarter to one-half inch each) in the lower abdomen and pelvis. Unlike conventional (open) surgeries, which require large incisions and retraction to accommodate human hands, a minimally invasive approach achieves optimal outcomes with less trauma and stress to the body. For the patient, this means less pain, fewer complications, less blood loss, smaller surgical scars, and a faster recovery. In most cases patients leave the hospital the same day and quickly return to normal activities. Learn about robotic-assisted surgery. Patient Benefits The benefits of minimally invasive surgery are well known: Less blood loss Fewer complications Less post-surgical pain Shorter hospital stay Quicker recovery and return to normal activities Less scarring and adhesion formation Better cosmetic results Despite these clear advantages, most major reproductive and gynecologic surgical procedures performed in the United States are still using traditional open surgery techniques. This is why patients are now seeking treatment by reproductive surgeons at Strong Fertility Center, who have significant experience and demonstrable skills in minimally invasive surgery.