Dr Paayal Agrawaal – Fertility Consultant

  • Kingsway hospitals Nagpur, Nagpur, India, Maharashtra
  • agrawal.pda.payal@gmail.com
  • +91 98230 10946
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  • KIMS-Kingsway Hospitals 44, Kingsway Road, Near Kasturchand Park, Mohan Nagar, Nagpur-440001
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All Fertility Preservation Surgeries

Laparoscopy & Hysteroscopy - All Fertility Preservation Surgeries

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All Fertility Preservation Surgeries

Fertility preservation surgeries are specialized procedures designed to help individuals maintain their ability to have biological children in the future. These surgeries are especially important for patients facing medical treatments that may affect fertility—such as chemotherapy, radiation, or major pelvic surgeries—and for those who wish to delay childbearing due to personal, professional, or health reasons.

1. Ovarian Tissue Cryopreservation

  • Involves surgical removal of ovarian tissue, which is then frozen and stored.
  • Later, the tissue can be reimplanted to restore fertility and hormonal function.
  • Ideal for young girls, women who can't delay cancer treatment, or those with poor response to egg stimulation.
  • Offers potential even before puberty.

2. Ovarian Transposition (Oophoropexy)

  • A laparoscopic surgery that moves the ovaries away from the pelvis to protect them from radiation exposure.
  • Helps preserve ovarian function during pelvic cancer treatments.
  • Can be performed quickly prior to radiation therapy.

3. Radical Trachelectomy

  • A fertility-preserving surgery for early-stage cervical cancer.
  • Removes the cervix and surrounding tissue while keeping the uterus intact.
  • Allows future pregnancy, usually delivered via cesarean section.
  • Requires careful selection and ongoing monitoring.

4. Myomectomy

  • Surgical removal of fibroids (non-cancerous growths in the uterus) that may interfere with fertility.
  • Preserves the uterus and can improve implantation and pregnancy outcomes.
  • Can be performed hysteroscopically, laparoscopically, or via open surgery depending on fibroid size and location.

5. Tubal Surgery

  • Aims to repair or unblock damaged fallopian tubes.
  • Includes procedures like tuboplasty, salpingostomy, or reversal of tubal ligation (reanastomosis).
  • Helps restore the possibility of natural conception in selected cases.

6. Testicular Sperm Extraction (TESE / Micro-TESE)

  • A surgical procedure to retrieve sperm directly from the testes in men with no sperm in the ejaculate (azoospermia).
  • Often used when sperm banking is not possible prior to cancer treatment.
  • Retrieved sperm can be frozen for use in IVF with ICSI (intracytoplasmic sperm injection).

7. Varicocelectomy

  • A microsurgical procedure to remove enlarged veins (varicoceles) in the scrotum that impair sperm production.
  • Improves sperm count and quality, and is often recommended for men with abnormal semen analysis and infertility.

Who Should Consider Fertility Preservation Surgery?

  • Cancer patients (before chemotherapy or radiation)
  • Women with genetic risks of early menopause
  • Transgender individuals undergoing gender-affirming treatments
  • Individuals delaying childbearing for personal or professional reasons

Fertility preservation surgeries offer vital options for people who wish to secure their future ability to have children. These procedures should be discussed early, especially before beginning any medical treatments that could compromise fertility. A personalized plan created with a fertility specialist ensures the most appropriate approach for each individual’s goals and medical situation.