Minimally Invasive Reproductive Surgery in Birmingham, AL
Sometimes the path to parenthood calls for a closer look and a more precise approach. Reproductive surgery allows us to diagnose and treat conditions that might be standing in your way of conception, including endometriosis, uterine fibroids, endometrial polyps, and uterine anomalies.
At ACRM, we use two minimally invasive procedures—laparoscopy and hysteroscopy—to restore reproductive health and improve your chances of conceiving. These procedures allow us to gently remove scar tissue, clear the fallopian tubes, and address fibroids and cysts, giving you a positive outlook on starting or growing a family.
Laparoscopy
Seeing clearly and acting precisely.Laparoscopy is a surgical procedure that allows us to examine your pelvic organs more closely. A small incision is made near the belly button, through which a thin camera, called a laparoscope, is inserted to give us a clear view of your uterus, fallopian tubes, and ovaries. For many patients, this procedure is key in diagnosing and treating conditions like endometriosis, pelvic adhesions, fibroids, or unexplained pelvic pain that may be interfering with fertility.
This procedure provides the opportunity to diagnose and treat in the same setting. Meaning if we spot something that needs to be addressed, like blocked tubes or endometrial tissue, surgical tools can be inserted through additional tiny incisions to correct it right away.
Hysteroscopy
Let’s take a closer look inside.Hysteroscopy is a gentle procedure used to evaluate and treat issues within the uterine cavity. Using a slender, lighted scope inserted through the cervix, we’re able to directly visualize the uterine lining without any incisions. This procedure can help identify and remove polyps, fibroids, scar tissue, or structural abnormalities that may be affecting fertility, menstrual health, or implantation.
Because hysteroscopy is both diagnostic and therapeutic, there’s no waiting game between discovery and action. If something is discovered that’s standing in the way of pregnancy, it can often be treated right then and there. Recovery is minimal, and most patients return to their usual routine the same day.
Resources Designed to Support You Through the What-Ifs and What’s-Nexts
Understanding your options and knowing what to expect can make all the difference.Navigating fertility care can bring up a lot of questions—about procedures, timelines, medications, and what to expect next. We’ve created this resource hub to help you feel more grounded and informed at every turn. Whether preparing for your first visit or reviewing your treatment plan, these tools are here to support you, not overwhelm you. And if something feels unclear, we’re always just a call away.
What Birmingham Patients Are Asking Most About Reproductive Surgery
Our care team will guide you through this decision based on your symptoms, medical history, and fertility goals. Laparoscopy and hysteroscopy are two of the most common procedures used to diagnose and treat issues like endometriosis, fibroids, scar tissue, and uterine anomalies.
If you’re experiencing unexplained fertility issues, pelvic pain, irregular periods, or recurrent miscarriage, surgery may be recommended to investigate and correct what’s getting in the way. Diagnostic imaging like ultrasounds, hysterosalpingograms (HSG), or MRI scans may also point us in a specific direction, assisting our decision to the correct reproductive surgery for you.
Sometimes symptoms are obvious. Other times, they hide in plain sight, brushed off as normal or something you’ve just learned to live with. But when it comes to fertility, subtle signs can be red flags worth exploring.
A few signs that may indicate conditions like endometriosis, fibroids, or other uterine and pelvic issues include:
- Painful or heavy periods, especially if the pain interferes with daily life or worsens over time.
- Pelvic pain between periods—chronic or cyclical discomfort, usually associated with bowel movements or sex.
- Unexplained infertility, meaning difficulty conceiving after a certain period of time trying.
- Irregular menstrual cycles, which can consist of skipped periods, spotting, or cycles that are too short or too long.
- Recurrent miscarriages or multiple pregnancy losses may point to structural abnormalities.
- Bloating, constipation, or back pain are often overlooked signs of fibroids or pelvic congestion.
These symptoms don’t automatically mean you have an infertility-related condition, but they are worth bringing up during your consultation.
In many cases, yes. Reproductive surgery can remove the physical barriers standing in your way. By creating a more functional, receptive environment for conception, surgery can increase the chances of both natural pregnancy and assisted treatments like IUI or IVF.
Your results, however, will depend on the severity of the issue, how your body heals, and the broader context of your fertility plan, but for many patients, surgery becomes a key turning point.
You won’t need to wait long, but you’ll need a short recovery period before jumping back into fertility treatment or trying to conceive naturally. Depending on the procedure and your healing progress, we’ll recommend waiting at least one full menstrual cycle before trying again.
That window gives your body time to heal and helps us confirm that the surgery achieved what it needed to. We’ll assess your fertility plan post-op and move forward with the approach that gives you the best possible chance of success.
Coverage varies widely depending on your insurance provider, your diagnosis, and how your plan classifies the procedure—medically necessary versus elective or fertility-related. Some policies may cover reproductive surgery if it’s used to treat painful symptoms like endometriosis or fibroids, even if the ultimate goal is conception. Others may require a confirmed infertility diagnosis.
Our financial coordinators can help you navigate coverage and explain costs upfront. However, every insurance plan is different and complex so it is ultimately your responsibility to understand what is covered under your plan prior to treatment.
Hope Starts With a Reproductive Surgery Consultation at ACRM
Surgery in any form can be intimidating and scary. But knowing it’s the right step is what makes you strong enough to move forward. We stand behind every patient who walks through our doors with the hope of starting or growing their family. And if reproductive surgery can bring you closer to that dream while easing uncertainty, we’re here to make it happen.
More than anything, we’re here to walk it with you. With hope. With steady guidance. And with the kind of support that reminds you this journey is still yours to enjoy, even in the hardest moments. Schedule a consultation with us today to determine which reproductive surgery option is right for you.