Fertility Surgery

Minimally Invasive Fertility Surgery Options for Targeted Treatment

Anatomical issues may be causing your infertility. In that case, only fertility surgery can reverse the problem. Dr. Mark Rispler is a reproductive endocrinologist with specialized training as a fertility surgeon, including proficiency at performing the latest minimally invasive techniques.

Dr. Rispler may recommend and perform surgery to diagnose or correct female infertility, however, he will refer male patients to a urologist for surgical options.

As an alternative to fertility surgery, Dr. Rispler offers non-surgical treatment of vasectomy and tubal ligation.

Infertility due to pelvic factors in the female

Infertility due to pelvic factors in the female, including tubal disease or significant endometriosis, and surgically correctable factors in the male are present in 20% to 40% of couples.

–American Society for Reproductive Medicine

Male infertility can be caused by the complete absence of sperm, or failure of sperm to move from the testicles to the ejaculate. A urologist can harvest sperm directly from the testicles or open blocked organs (epididymis) holding sperm in surgical procedures for male Infertility called MESA and TESE.

Female infertility is generally caused either by the endocrine system, which regulates hormones, or the reproductive system, consisting of the fallopian tubes, ovaries and uterus. Dr. Rispler will rule out other barriers to conception before moving on to surgery. For example, a three-month cycle of the commonly prescribed clomiphene citrate (Clomid) fertility drug may be the only intervention you require.

Should you require fertility surgery, Dr. Rispler will consult with you on the best surgical technique for your unique situation:

Hysterosalpingography (HSG) and Hysteroscopy

Early fertility testing and diagnosis may involve an X-ray procedure called a hysterosalpingogram. This dye test allows Dr. Rispler to verify the patency of a woman’s fallopian tubes. Hysteroscopy is also performed in the fertility clinic with a thin, telescopic surgical instrument. Both hysterosalpingogram and hysteroscopy provide a view of the uterine cavity through a vaginal entry.

Dr. Rispler performs operative hysteroscopy to diagnose and correct:
• Endometrial polyps
• Uterine fibroids
• Intrauterine scar tissue

Laparoscopic and Microsurgical Repair of Tubal and Uterine Malformations

Often used as a diagnostic tool, laparoscopic fertility surgery provides Dr. Rispler an excellent view of the pelvic region and uterine cavity.

Symptoms can lead Dr. Rispler to believe a condition exists, but only laparoscopic fertility surgery can confirm a diagnosis for certain conditions such as endometriosis.

Today’s laparoscopic fertility surgery is performed under anesthesia, in a surgery center. The day surgery involves a small incision made at the pubic hair line and one to two other tiny incisions in the abdomen. Gas is used to inflate the abdomen to give the fertility surgeon a good view of the pelvic region.

During laparoscopic fertility surgery, Dr. Rispler can repair intrauterine adhesions, remove endometriosis, remove fibroid tumors and open blocked fallopian tubes.

Fertility surgery, at the hands of an experienced reproductive surgeon, can offer you the best chance for conception. To schedule a consultation with Dr. Rispler, contact the Manhattan Beach office.