Reproductive Endocrinology

Minimally Invasive Surgical Options

Developments of new surgical techniques and advances in surgical equipment allow us to perform more and more surgical procedures using laparoscopy and hysteroscopy. These novel procedures have revolutionized the approach to the majority of gynecological disorders. We can now perform the majority of surgeries without the need for large incisions into the abdominal wall and therefore, most often, patients can go home on the day of surgery and recover to full activity in approximately two weeks after surgery.

Our physicians have extensive experience in these procedures and are considered the best in their field.

These minimally invasive techniques offer many alternatives to hysterectomy for many women suffering from:

• Uterine fibroids
• Severe endometriosis
• Chronic pelvic pain
• Painful menstrual cycles (dysmenorrhea)
• Uterine thickening (adenomyosis)

Advanced laparoscopic procedures performed at Yale Reproductive Endocrinology include:

• Laser excision of endometriosis
• Laser and harmonic scalpel used in treatment of pelvic and abdominal adhesions, myomectomies
• Supra-cervical and total laparoscopic hysterectomies
• Removal of the ovaries
• Removal of ovarian cysts with preservation of the ovaries
• Laparoscopic treatment of pelvic pain including presacral neurectomies and uterosacral nerve ablations.

Advanced hysteroscopic procedures include, among others:

• Endometrial ablation
• Resections of fibroids
• Resections of intrauterine adhesions
• Removal of polyps
• Corrections of tubal obstructions
• Evaluations of fallopian tubes (falloposcopy)