Infertility Surgery: Removing Uterine Scars, Polyps

CIGC INFERTILITY SURGERY SERIES: Part IV Removing Scars or Polyps From the Uterus Can Increase Pregnancy Rates

How Scar Tissue Forms and Why it Can Be a Cause of Infertility

Many patients have had surgery to the uterus that results in the formation of scar tissue in the uterine cavity. The uterine cavity has a lush lining that will allow the embryo to implant and grow towards pregnancy. Surgery performed to the cavity, such as a D & C – dilatation and curettage or scraping of the cavity, or from fibroid removal can lead to the formation of scar tissue in the cavity and lining. Infections in the uterine cavity can also cause scar tissue to form. Scar tissue in the lining can prevent the implantation of the embryo. For this reason, any patient with scar tissue in the cavity from prior surgery or infection will require removal of the scar tissue to allow for pregnancy to occur.

Removal of Scar Tissue and Polyps by a Minimally Invasive GYN Specialist Increases Your Chances of Pregnancy

The Center for Innovative GYN Care concentrates on infertility surgery to enhance pregnancy rates. One of the most successful procedures performed at CIGC involves scar tissue removal to the uterine cavity. These procedures are performed with a hysteroscope, a camera that is inserted into the uterine cavity with a special device to remove the scar tissue. After the scar tissue has been removed, a form fitting balloon is placed into the uterine cavity to prevent scar tissue reformation. The lining of the cavity is then treated to allow for regrowth. Up to 95% of patients treated with this protocol will develop a cavity that is functional to allow for attempts at pregnancy.

Polyps in the cavity can also develop and can prevent implantation of the embryo. Polpys are simply overgrowths of the lining, and are also removed with a hysteroscope.

The recovery after these procedures is only one to two days. Patients can often begin trying to become pregnant in one to two months after these procedures. As with any specialized procedure, be sure that the surgeon performing the procedure is a specialist that is well versed in the treatment of uterine scarring to ensure the highest pregnancy rates possible.


Book a consultation with Paul MacKoul MD or Natalya Danilyants MD of The Center for Innovative GYN Care here.


Infertility Series

Part 1: Fibroid Removal

Part 2: Endometriosis Removal

Part 3: Fallopian Tubes, Hydrosalpinx

Part 4: Uterine Polyps and Scars