Robotic and Advanced Endoscopic Fertility Surgery in California
Precision, minimally invasive procedures to restore your fertility potential.
American Reproductive Centers provides robotic and advanced endoscopic fertility surgery for patients whose ability to conceive is affected by structural or anatomical reproductive conditions. These procedures are used to treat issues such as endometriosis, uterine fibroids, ovarian cysts, pelvic scar tissue, and other abnormalities that interfere with natural or assisted conception.
All surgical care is led by Dr. Maher Abdallah, using state-of-the-art robotic and minimally invasive endoscopic techniques. These approaches allow complex fertility-preserving procedures to be performed through very small incisions, reducing pain, scarring, and recovery time compared to traditional open surgery.
Robotic/Advanced Endoscopic Surgery
Welcome to the future of surgical procedures: Robotic Endoscopic Surgery! ARC’s state-of-the-art facilities, cutting edge technology and expertly trained Endocrinologists provide the most advanced fertility treatments to our patients. The results: increased success rates, lowered adverse events and shorter hospital stays compared with conventional open surgery.
Robotic / Advanced Endoscopic Surgery is a type of minimally invasive surgery where doctors use advanced instruments and small cameras to perform procedures through tiny incisions, allowing for greater precision, less pain, and faster recovery compared to traditional open surgery.
Benefits of Robotic Endoscopic Surgery:
- Shorter hospitalization
- Reduced pain and discomfort
- Faster recovery time and return to normal activities
- Smaller incisions, resulting in reduced risk of infection
- Reduced blood loss and transfusions
- Minimal scarring
Learn More About ARC’s Surgery Techniques!
Fertility Conditions We Treat with Minimally Invasive Surgery
Fertility surgery focuses on treating physical problems that interfere with the reproductive system. These conditions often prevent natural conception, cause pain, or reduce the effectiveness of fertility treatments.
Endometriosis That Affects Fertility
Endometriosis happens when tissue similar to the lining of the uterus grows outside the uterus. This tissue reacts to hormones, which causes inflammation, pain, and scar tissue.
How surgery helps: We remove endometriosis implants and scar tissue. This reduces inflammation, improves pelvic anatomy, and removes the toxins that can damage eggs and embryos. Many patients experience improved natural fertility and better IVF success rates.
Fibroids That Block Implantation or Distort the Uterus
Fibroids are benign growths that can appear inside or outside the uterus. Depending on their location, they can block the fallopian tubes, distort the uterine cavity, or interfere with embryo implantation.
How surgery helps: We remove fibroids while preserving the uterus. This restores normal anatomy and improves blood flow to the uterine lining. A healthy uterine lining is essential for embryo implantation.
Pelvic Adhesions That Restrict Organ Function or Block Tubes
Adhesions are bands of scar tissue that form after surgery, infection, or endometriosis. They can bind organs together, block fallopian tubes, and distort pelvic anatomy.
How surgery helps: We carefully separate and remove scar tissue. This frees the ovaries, fallopian tubes, and uterus so they can function normally.
Ovarian Cysts and Endometriomas That Reduce Egg Reserve
Ovarian cysts and endometriomas can damage healthy ovarian tissue and reduce egg supply. Large cysts can also cause pain or block access during egg retrieval.
How surgery helps: We remove the cyst while protecting as much healthy ovarian tissue as possible. This preserves your egg reserve and prevents further damage.
Blocked or Damaged Fallopian Tubes Including Hydrosalpinx
Blocked or damaged fallopian tubes prevent sperm from reaching the egg. Hydrosalpinx, where fluid collects inside a damaged tube, is especially harmful. The toxic fluid can leak into the uterus and cut IVF success rates by half.
How surgery helps: In some cases, we repair or reopen blocked tubes. In other cases, we remove severely damaged tubes before IVF to improve your success rate. Removing a hydrosalpinx can double your chances of implantation during IVF.
Uterine Cavity Abnormalities That Prevent Implantation
Some women are born with a uterine septum. Others develop polyps or fibroids that grow inside the cavity. These issues can prevent an embryo from implanting or cause repeated miscarriages.
How surgery helps: We remove the septum or polyps using hysteroscopy. This creates a healthy uterine cavity where an embryo can implant and grow successfully.
How Robotic Endoscopic Surgery Improves Fertility
Surgery often improves fertility because it corrects the underlying physical issues that prevent pregnancy.
Restores Normal Anatomy
Fibroids, adhesions, blocked tubes, or abnormal uterine shape can physically prevent sperm and egg from meeting. Surgery removes obstacles and restores normal reproductive function.
Reduces Inflammation
Endometriosis produces inflammatory substances that harm eggs, sperm, and embryos. Removing diseased tissue reduces inflammation and creates a healthier environment for conception.
Improves Uterine Receptivity
Polyps and submucosal fibroids disrupt the endometrial lining, which prevents an embryo from attaching. Removing these issues improves implantation and increases pregnancy rates.
Improves IVF Success
Some conditions significantly lower IVF success. Hydrosalpinx is one example. Surgery corrects these problems before treatment, so you get the highest chance of success.
Advanced Endoscopic Surgery
We also use two endoscopic techniques: laparoscopy and hysteroscopy. These approaches allow us to treat problems without large incisions.
Laparoscopy (Keyhole Surgery)
We make a few small incisions in the abdomen. A thin camera goes through one incision, and surgical instruments go through the others.
Conditions we treat with laparoscopy:
- Endometriosis
- Fibroids on the outside of the uterus
- Ovarian cysts
- Pelvic adhesions
- Tubal problems
Recovery:
Most patients go home the same day. Soreness lasts a few days. Normal activities resume within one to two weeks.
Hysteroscopy (No Incisions)
We insert a thin camera through the cervix into the uterus. No abdominal cuts are needed.
Conditions we treat with hysteroscopy:
- Polyps
- Septum
- Fibroids inside the uterine cavity
Recovery:
Most patients return to normal in one to two days. Cramping and light spotting are common for a short time.
What to Expect After Surgery
After Laparoscopy or Robotic Surgery
- Hospital stay: Outpatient or one night
- Pain: Mild and managed with oral medication
- Activity: Light activities within one week
- Full recovery: Two to four weeks in most cases
- Trying to conceive: Timing depends on the procedure. We will guide you.
After Hysteroscopy
- Hospital stay: Outpatient
- Pain: Mild cramping for one to two days
- Activity: Normal activities within one to two days
- Trying to conceive: Often possible in the next cycle
Fertility Surgery at American Reproductive Centers
Robotic and advanced endoscopic fertility surgery is used to correct the physical conditions that prevent pregnancy, including endometriosis, fibroids, ovarian cysts, pelvic adhesions, and uterine abnormalities. At American Reproductive Centers, minimally invasive surgical techniques are used to restore normal anatomy while protecting the uterus, ovaries, and fallopian tubes, helping create better conditions for natural conception or fertility treatment.
Frequently Asked Questions
How soon can I try to conceive after surgery?
It depends on the procedure. After hysteroscopy, many patients can try the next cycle. After fibroid removal, healing takes three to six months. After endometriosis excision, some patients can try immediately. You will receive a personalized timeline.
Will I have large scars?
No. Robotic and laparoscopic surgery uses three to five small incisions. Hysteroscopy has no external incisions.
Does insurance cover surgery?
Many plans cover surgery for conditions like endometriosis, fibroids, and ovarian cysts. These procedures are medically necessary. Our team verifies coverage before scheduling.
What if I need IVF after surgery?
Surgery often improves IVF results. We plan your timing together based on healing and your fertility goals.
Can you treat severe endometriosis?
Yes. Dr. Abdallah treats deep-infiltrating endometriosis and complex pelvic disease safely using advanced techniques.
How do I know if I need surgery before IVF?
Some conditions should be corrected first. These include hydrosalpinx, large fibroids that distort the uterus, severe endometriosis, and cavity abnormalities. We will review imaging and recommend the best plan.
Benefits of Robotic Endoscopic Surgery:
- Shorter hospitalization
- Reduced pain and discomfort
- Faster recovery time and return to normal activities
- Smaller incisions, resulting in reduced risk of infection
- Reduced blood loss and transfusions
- Minimal scarring
Learn More About ARC’s Surgery Techniques!
Where Success is Measured in Heartbeats!
Our Locations:
1180 N Indian Canyon Dr. Suites 301/303, Palm Springs, CA 92262
1-760-346-4334
255 Terracina Blvd. – Suite 202, Redlands, CA 92373
1-760-346-4334
(An ARC affiliate)
330 S Magnolia Ave suite 201, El Cajon, CA 92020
1-619-768-1110