Fertility Surgery: What You Need to Know

If you’ve tried other ways to conceive without success, surgery might be an option. Below we break down the most common procedures, why they’re done, and how to prepare for a smooth recovery.

Common Types of Fertility Surgery

Tubal reversal (or tubal re‑anastomosis): This fixes a blocked or cut fallopian tube after a prior sterilization. A surgeon reconnects the tube ends, giving eggs a chance to meet sperm again. Success rates depend on age and how much of the tube remains healthy.

Varicocele repair: Men with enlarged veins in the scrotum (varicoceles) often see lower sperm counts. The surgeon ties off or clips those veins, improving blood flow and sperm quality. Most men feel back to normal within a few weeks.

Endometriosis excision: Endometriosis is tissue that grows outside the uterus and can block fallopian tubes or cause pain. Removing the tissue surgically can restore fertility and relieve symptoms. Laparoscopic surgery is common, with small incisions and quick recovery.

Uterine fibroid removal (myomectomy): Large fibroids can distort the uterine cavity and stop implantation. Cutting out the fibroids restores shape and often improves chances of pregnancy. Recovery may take a bit longer than other laparoscopy procedures, but many women get pregnant soon after.

Preparing for Surgery

Talk to your doctor about any meds you’re taking – blood thinners, herbal supplements or even aspirin can increase bleeding risk. Ask if you need lab tests, an ultrasound, or a sperm analysis before the date. Pack a small bag with comfortable clothes, a pillow and anything that makes you feel at ease.

Plan for help at home after you’re discharged. Most outpatient procedures let you go home the same day, but you’ll likely feel sore for a few days. Having someone drive you and stay nearby for 24‑48 hours cuts stress and reduces complications.

Recovery Tips

Follow your surgeon’s instructions on wound care – keep incisions clean and dry. Gentle walking helps prevent blood clots and keeps circulation moving. Avoid heavy lifting, intense exercise or sex for at least two weeks (or longer if advised).

Watch for warning signs: increasing pain, fever over 101°F, swelling that gets worse, or discharge that looks odd. Call your clinic right away if anything feels off.

Cost and Choosing a Surgeon

Prices vary by location, type of surgery and whether insurance covers part of the bill. Tubal reversal can run from $3,000 to $10,000; varicocele repair is usually $2,500‑$5,000. Ask for an itemized estimate before you sign any paperwork.

Pick a surgeon with board certification in reproductive surgery and good patient reviews. A clinic that offers a pre‑op consultation lets you ask questions about success rates, potential complications and what the post‑op timeline looks like.

Remember, fertility surgery is just one piece of the puzzle. Lifestyle factors – healthy weight, balanced diet, quitting smoking – still matter a lot. Combine the right medical care with good habits for the best chance at pregnancy.

If you’re ready to explore surgery, schedule a meeting with your reproductive specialist today. Getting clear answers now can make the whole process feel less scary and more hopeful.