Will my internal bleeding and laparoscopic surgery after egg retrieval for freezing make me infertile?
Patient's Query
Hi doctor,
I am worried about my fertility after laparoscopic surgery. I had internal bleeding after egg retrieval for freezing.
Hello,
Welcome to icliniq.com.
Thanks for the query.
If you have undergone laparoscopic egg retrieval for freezing during your planned cycle, then minimal bleeding is normal to occur when the follicle is ruptured. This shall heal naturally and as the ovarian tissue is not removed so it does not decrease the ovarian reserve or have any implication as such over the future development of ovarian follicles.
Regards.
Patient's Query
Hi doctor,
No, I actually had a complication and had 1.5 liters of internal bleeding from each ovary and had to undergo laparoscopic surgery to take out the blood. I am very worried, the blood may create adhesions and cause infertility?
Hello,
Welcome back to icliniq.com.
I now understand. During egg retrieval vaginally, the ovaries got probably torn due to poor retrieval technique. However, if the bleeding was controlled and laparoscopically removed completely then chances of adhesions would be minimal. The ovarian tears heal by fibrosis, however, if there is no ovarian tissue loss then ovarian reserve is not compromised.
Regards.
Patient's Query
Hi doctor,
A doctor from the hospital really stressed me out yesterday. When I asked him if this could destroy my fertility, he said that the surgery could mean I cannot get pregnant normally. He said, “once you touch anything around ovaries with surgery it creates adhesions and makes it difficult to get pregnant naturally". They also applied some blocking agents to avoid adhesions but he seemed extremely negative and made me very upset. I was completely fertile before this.
Hello,
Welcome back to icliniq.com.
Once the clots are removed from over and around ovaries then, an anti-adhesive material like Interceed is applied over the raw areas which prevents adhesions with the surrounding structures like the tubes or the intestines. The injured ovaries shall heal in the next six weeks maximum and then you can repeat the ultrasound to check for the antral follicular count.
I hope this would relax you.
Regards.
Patient's Query
Hi doctor,
The doctor had said that the blood would cause the tubes to stick together making natural pregnancy difficult.
Also, I have had stomach cramps for months, now could that be adhesions?
Hello,
Welcome to icliniq.com.
The best way to find out that your tubes are intact and not blocked or have not stuck together is to get a transvaginal ultrasound done and also a sonosalpingogram which would determine the patency of the tubes and their integrity. Also, a repeat diagnostic laparoscopy would ideally be the gold standard to determine if there have been any adhesion formations post your previous surgery.
If you feel that you have stomach cramps then it is unlikely, as the stomach has no connection with your ovarian injury.
You may discuss the option with your provider and then he may make an informed decision.
Regards.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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