This procedure allows us to determine whether there are any defects such as scar tissue, endometriosis, fibroid tumors and other abnormalities of the uterus, fallopian tubes and ovaries. If any defects are found then we can often be corrected with operative laparoscopy which involves placing instruments through ports in the scope and through additional, narrow (5 mm) ports which are usually inserted at the top of the pubic hair line in the lower abdomen.

Fibroids that are attached to the outside of the uterus by a stalk (pedunculated myomas) are the easiest to remove laparoscopically. Many subserous myomas (close to the outer surface) can also be removed through the laparoscope. Fibroids that are deep in the wall of the uterus, or submucous are most difficult to remove laparoscopically. Although there have been successful pregnancies after laparoscopic removal of deep or multiple myomas, the real question is whether or not the uterus can be repaired as well through the laparoscope as can be done through an abdominal myomectomy.

Pain is one of the most common symptoms of endometriosis. Usually the pain is in the abdomen, lower back, and pelvis. The amount of pain a woman feels does not depend on how much endometriosis she has. Some women have no pain, even though their disease affects large areas. Other women with endometriosis have severe pain even though they have only a few small growths.

Pregnant women who perform Maternity Gymnastics often find they have an easier birth. Strengthening these muscles during pregnancy can help you develop the ability to control your muscles during labor and delivery. Toning all of these muscles will also minimize two common problems during pregnancy: bladder leaks and hemorrhoids. Maternity Gymnastics are also recommended after pregnancy to promote perineal healing, regain bladder control, and strengthen pelvic floor muscles. The best thing about Maternity Gymnastics is that they can be done anywhere, and no one knows you’re doing them.

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Ectopic pregnancies are caused by one or more of the following:

• An infection or inflammation of the fallopian tube can cause it to become partially or entirely blocked
• Scar tissue left behind from a previous infection or an operation on the tube may also impede the egg's movement.
• Previous surgery in the pelvic area or on the tubes can cause adhesions.
• An abnormality in the tube's shape can be caused by abnormal growths or a birth defect.