Reproductive surgery addresses fertility issues, corrects anatomical abnormalities, and enhances the chances of conception for individuals and couples facing reproductive challenges.
For some patients, surgery alone can directly improve fertility. For others, it forms one part of a broader treatment plan that may also include assisted reproductive technologies. Dr Rozen takes a careful, evidence-based approach to surgical recommendations and every decision is based on each patient’s individual circumstances. Dr Rozen works alongside urologists and other specialists where needed to ensure every patient receives coordinated, expert care.
Laparoscopy can remove or destroy endometrial tissue growing outside the uterus, alleviating pain and improving fertility prospects. It is one of the most common and effective surgical treatments for endometriosis and allows diagnosis and treatment to be completed in a single procedure.
Laparoscopy is a minimally invasive surgical procedure performed using a thin fibre-optic instrument with a camera, called a laparoscope. Rather than a large incision, the surgeon makes one or more small cuts in the abdomen through which the laparoscope is inserted. Images are displayed on a screen, allowing the surgeon to examine the pelvis and operate with precision.
Laparoscopy recovery time depends on the complexity of the procedure performed. Most patients go home the same day or the following morning, and because incisions are small, recovery is generally faster and less painful than open surgery. Most women are able to return to normal daily activities within a few days, though more complex procedures may require a longer recovery period.
The procedure involves the surgical removal of uterine fibroids and can improve fertility outcomes for women affected by fibroids that distort the uterine cavity or significantly impact uterine function.
This minimally invasive procedure is performed through the vagina and cervix to address intrauterine conditions such as polyps, fibroids, or septa that can affect fertility. It does not require any abdominal incisions.
Procedures to address ovarian cysts or improve ovarian function are sometimes necessary. These are approached with care given the potential impact on ovarian reserve, and Dr Rozen takes a conservative approach wherever possible to protect future fertility.
For men with no sperm in their ejaculate, testicular sperm aspiration and extraction (TESA and TESE) may be recommended as part of an IVF cycle. TESA involves retrieving sperm using a fine needle, while TESE involves a small surgical incision. Both methods retrieve sperm for use with ICSI.
“Reproductive surgery can be genuinely life-changing for the right patient. But the key word is right. I take the decision to recommend surgery seriously, and I want every patient to feel confident that it’s the right step for their situation before we proceed.”
– Dr Genia Rozen, Fertility Specialist, Genea Melbourne City and Frankston
