
LAPAROSCOPY
- It is a surgical procedure in which a fibre optic telescope is inserted through the abdominal wall to view the organs in the abdomen and perform surgery.
Procedure:
- Done under general anaesthesia in the operation theatre
- Patient’s abdomen is painted with antiseptic and draped
- Small incisions are made on the abdominal wall to insert 5mm or 10 mm trocars. Pneumoperitoneum is created by introducing CO2.
Diagnostic laparoscopy in infertility-:
- Used to visualize the uterus, ovaries and tubes and detect any problems in the same.
- A dye called methylene blue is instilled into the uterus to confirm patency of tubes.
Minor operative procedures:
Ovarian cyst removal
Major operative procedures:
- Myomectomy
- LAVH
- TLH
LUTEAL PHASE OF MENSTRUAL CYCLE
- Luteal phase is the second half of the menstrual cycle starting after ovulation and ending either in pregnancy or start of next periods.
- In most women it lasts 12 to 14 days.
- Progesterone is the major hormone of the luteal phase which is essential for the maintenance of any on-going pregnancy.
- Luteal phase defects can lead to recurrent pregnancy loss or infertility.(centre image)