Fertility Surgery

Specialist Services at Virtus Fertility Centre Singapore

Once your fertility specialist understands the possible cause(s) of your infertility, they may recommend surgery as part of your treatment. This could be for further investigation or to overcome your particular condition.

Fertility Surgery for Women

• Laparoscopy – this keyhole surgery can both diagnose and treat conditions such as endometriosis, fibroids and uterine abnormalities. You will be under general anaesthesia throughout the surgery, which takes one to two hours, and will be performed in a specialist day hospital. You may need to take one to two days off work afterwards. During recovery you may experience some symptoms such as tiredness, mild nausea, cramps and a small amount of vaginal discharge or bleeding.  If you have endometriosis, laparoscopy or medication may be all you need to fall pregnant naturally.
• Tubal surgery – we can remove scar tissue within the fallopian tubes through a laparoscope or with microsurgery to improve your chances of successful pregnancy with IVF treatment
• Microsurgery – using an operating microscope, your skilled surgeon can reverse sterilisation, re-open blocked fallopian tubes, or remove scar tissue from the uterus, tubes or ovaries.

Fertility Surgery for Men

• Fine Needle Testicular Sperm Aspiration (TESA) – this is a form of testicular biopsy where sperm is extracted from the testes if you have no sperm in the ejaculated semen (i.e. Azoospermia). This is the first step in an ICSI (IntraCytoplasmic Sperm Injection) or IMSI (Intracytoplasmic Morphologically-selected Sperm Injection) cycle, where the sperm will then be injected into an egg to effect fertilization.

Virtus Fertility Centre offers fine needle TESA because the procedure is a ‘closed’ surgery where testicular tissues are not exposed. It is undertaken using local anaesthesia and has a relatively short recovery and healing period.

Fine needle TESA can be used to determine availability of sperm in the testis before his partner is prepared for ovarian stimulation. The process may be repeated immediately after egg collection to provide fresh sperm for fertilisation.

Conventional Testicular Sperm Extraction (TESE) is an ‘open’ surgery where testicular tissues are exposed and snipped for diagnosis and/or ICSI treatment. Conventional TESE requires general anaesthesia and has a longer recovery and healing period

• Vasectomy reversal – we can reverse a vasectomy to enable pregnancy either naturally or with IVF.