Some causes of difficulty conceiving can be identified and treated surgically. These include endometriosis, fibroids or polyps that distort the uterine cavity, blocked or damaged fallopian tubes, ovarian cysts, and scar tissue within the uterus (Asherman’s syndrome) or pelvis.

Surgery is most often performed laparoscopically or hysteroscopically as a day procedure under general anaesthetic. The aim is to restore normal anatomy with minimal disruption to healthy tissue, and to gather information that guides the next steps in fertility care.

Recovery is usually one to two weeks, and most women are able to begin trying to conceive within a cycle or two, depending on the procedure.

Fertility care is a shared effort. Where appropriate, surgery is planned in consultation with your fertility specialist so that it fits within an overall treatment plan, whether that involves natural conception or assisted reproduction.