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, in regular circumstances, allows the embryo to implant and grow into a pregnancy.
Surgery performed to the cavity — such as a D&C (dilatation and curettage or scraping of the cavity) or 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.
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The minimally invasive surgical specialists at The Center for Innovative GYN Care concentrate on infertility surgery to enhance pregnancy rates. One of the most successful procedures performed at CIGC involves scar tissue removal from the uterus.
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 uterus 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 develop a cavity that is functional to allow for a successful pregnancy.
Polyps — noncancerous growths attached to the inner wall of the uterus — in the cavity can also develop and prevent implantation of an embryo. Polpys are also removed with a hysteroscope.
The recovery after these procedures is typically 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 best chance of conceiving and carrying a baby to term.
The CIGC founders, minimally invasive GYN surgical specialists Paul MacKoul, MD, and Natalya Danilyants, MD, developed their advanced GYN surgical techniques using only two small incisions with patients’ well-being in mind.
Their personalized approach to care helps patients gain a better understanding of their condition and the recommended treatment so they can have confidence from the very start. Our surgeons have performed more than 25,000 GYN procedures and are constantly finding better ways to improve outcomes for patients.
Book a consultation with Paul MacKoul, MD, or Natalya Danilyants, MD, of The Center for Innovative GYN Care.
Part 1: Fibroid Removal
Part 2: Endometriosis Removal
Part 3: Fallopian Tubes, Hydrosalpinx
Part 4: Uterine Polyps and Scars
Schedule a consultation to learn more about how we can treat your condition today.