Fertiloscopy in Nice

Fertiloscopy = Exploration of the fertility well. The fertiloscopy is carried out in case of infertility.


Fertiloscopy with ovarian drilling and tubal blue test

Extraperitoneal caesarean section

Fertiloscopy in Nice | Dr Velemir, chirurgien gynécologue obstétricien à Nice

Dr. Velemir is one of the ten gynecologists-obstetricians to practice extraperitoneal caesarean section in France. The technique of extraperitoneal cesarean section is still unknown, almost confidential, it has great benefits for moms and their babies. With extraperitoneal caesarean section, the sequelae and the risk of complications are reduced.
Learn more about extraperitoneal caesarean section.

What is a fertiloscopy?

The fertiloscopy is an operation performed vaginally for the examination, with a mini camera, of all the female internal genital organs. The fertiloscopy is performed in cases of infertility.

How is a fertiloscopy performed?

The fertiloscopy can be described as a laparoscopy performed vaginally and in water. Unlike the laparoscopy, the fertiloscopy does not require the insufflation of gas in the abdomen or necessarily general anaesthesia. In addition, it causes very little pain. It is an outpatient procedure and takes between 15 and 30 minutes.

The patient is placed in the lithotomy position under local-regional (spinal) or general anaesthesia depending on the case. A needle is passed through the vagina into the pelvis at the Douglas’ pouch level, at the back of the uterus. The pelvis is filled with physiological saline solution. A thin endoscope known as a Fertiloscope is then introduced into the pelvis and passed behind the uterus.

The fertiloscopy is used to study the female “fertility well”, i.e. all genital organs involved in reproduction:

the posterior part of the pelvis with the pelvic peritoneum;
the posterior surface of the uterus;

In addition to a fertiloscopy, different necessary surgical actions can be practiced in the event of infertility such as:

A tubal patency test: This examination is part of the main investigations concerning female infertility.
A hysteroscopy: for exploring the uterine cavity.
Ovarian drilling: in the event of infertility due to lack of ovulation due to polycystic ovary syndrome. The realization of small holes in the ovaries facilitates spontaneous pregnancy in 50% of cases in 6 months.
The removal of strained adhesions between the uterus, fallopian tubes and ovaries. These adhesions may interfere with reproduction.

What are the risks of the fertiloscopy?

The main risk, although extremely rare, is injury to the rectum. This is fortunately a minor complication in most cases that requires no treatment other than antibiotics. This complication can be prevented not performing a fertiloscopy on patients suspected of having severe endometriosis of the rectovaginal septum.

Make an appointment for a fertiloscopy in Nice

In the expert hands of Dr. Luka Velemir come to perform a fertiloscopy in case of doubt of infertility.