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KARTHIKEYA Speciality Clinics
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Obstetrics & Gynecology

Gynecological Laparoscopy & Infertility Care

Minimally invasive keyhole gynecological surgeries for ovarian cysts, fibroids, endometriosis, diagnostic hysteroscopy, and comprehensive fertility evaluations.

Clinical Focus: Gynecological laparoscopic and hysteroscopic surgeries offer precise, minimally invasive diagnosis and treatment for structural causes of pelvic pain, heavy bleeding, and infertility. Dr. Nibeditha Maharana provides advanced gynecological endoscopy and structured fertility evaluations for couples in Bachupally, Hyderabad.

Conditions Evaluated & Surgically Treated

  • Infertility Workup (Primary & Secondary): Diagnostic Laparoscopy and Chromopertubation (dye test) to assess fallopian tube patency, pelvic adhesions, and ovarian reserve.
  • Endometriosis & Adenomyosis: Laparoscopic excision/ablation of endometriotic implants, chocolate cysts (endometriomas), and adhesiolysis for chronic pelvic pain.
  • Ovarian Cysts: Keyhole Laparoscopic Ovarian Cystectomy preserving healthy ovarian cortex and follicular reserve.
  • Uterine Fibroids (Myomas): Laparoscopic and Hysteroscopic Myomectomy for heavy menstrual bleeding (menorrhagia) and pelvic pressure.
  • Diagnostic & Operative Hysteroscopy: Removal of endometrial polyps, uterine septum resection, and intrauterine synechiae (adhesions) release.
  • Polycystic Ovarian Syndrome (PCOS): Medical ovulation induction and laparoscopic ovarian drilling (LOD) for resistant anovulation.

Diagnostic Workup & Fertility Mapping

Hormonal Assessment

Day 2/3 FSH, LH, Estradiol, Serum AMH (Anti-Müllerian Hormone), Prolactin, and Thyroid profile.

Pelvic Sonography

Transvaginal Ultrasound (TVS) for Antral Follicle Count (AFC), endometrial thickness tracking, and myoma mapping.

Tubal & Semen Analysis

Hysterosalpingography (HSG) / Laparoscopy dye test and comprehensive Semen Analysis for male partner evaluation.

Surgical Highlights & Reproductive Outcomes

  1. Tissue & Ovarian Reserve Preservation: Gentle bipolar micro-coagulation to avoid thermal damage to adjacent healthy ovarian follicles.
  2. Fast Recovery with Minimal Discomfort: Small 5 mm incisions allowing discharge within 24 hours and minimal time away from daily life.
  3. Comprehensive Ovulation Induction: Follicular tracking ultrasound and timed intercourse protocols to maximize natural conception chances.
  4. Personalized Counseling: Empathetic, supportive guidance addressing emotional and physical wellness throughout the fertility journey.

Why Choose Karthikeya Speciality Clinics

  • Expert Female Gynecological Surgeon: Gentle, personalized care provided by Dr. Nibeditha Maharana.
  • Fertility-Focused Surgery: Utmost priority given to preserving fallopian tube anatomy and ovarian follicular reserve.
  • Modern Keyhole Equipment: High-definition laparoscopic and hysteroscopic systems ensuring clear visualization and swift recovery.
  • Comprehensive Couple Evaluation: Holistic approach assessing both partners to structure the most effective treatment plan.

Frequently Asked Questions

Diagnostic laparoscopy with chromopertubation is the definitive gold standard to directly visualize the pelvic organs, confirm if the fallopian tubes are open (patent), detect subtle endometriosis, and release pelvic adhesions that cannot be seen on standard ultrasound.
Because the surgery is done through keyhole incisions, most patients are discharged within 24 hours, experience minimal discomfort, and return to light work within 5 to 7 days.
Yes. Removing endometriotic cysts and clearing pelvic adhesions significantly restores normal pelvic anatomy and reduces inflammatory cytokines, greatly improving spontaneous pregnancy rates in subsequent months.