If your ultrasound or other tests reveal a significant anatomical problem (for example, a fallopian tube blockage, a very large fibroid or a large polyp in the uterine cavity), it may be appropriate to have fertility surgery which can then improve your chance of conceiving naturally.

Most fertility surgery is now undertaken as minimal access (or “keyhole”) surgery, rather than via a large abdominal cut. This means less time in hospital (many procedures are “day only”) and faster recovery times.

A common cause of infertility is the condition endometriosis. In this condition, areas of tissue that are similar to the uterine lining (that sheds as a period each month) are present in different areas of the pelvis. This can lead to pelvic pain, unusual bleeding and infertility. The condition is a very broad one, ranging from very mild disease (leading to no symptoms apart from the inability to conceive) through to severe disease with debilitating symptoms. Endometriosis is usually diagnosed and treated with laparoscopic surgery and / or assisted conception, depending on individual circumstances.

Did you know:

That the symptoms of endometriosis can be subtle – including spotting before you periods or uncertain abdominal symptoms – and is often misdiagnosed as irritable bowel syndrome? Sometimes the only symptom is infertility. If present, endometriosis is often not seen on an ultrasound test.