The Gynecological Surgery Practice at Boston IVF

At Boston IVF, fertility care extends beyond assisted reproductive technologies (ART). For many patients, achieving optimal fertility outcomes involves addressing underlying gynecological conditions that impact the reproductive system. Led by Dr. Pietro Bortoletto, MD, MS, Reproductive Endocrinologist and Director of Reproductive Surgery, the in-house Surgery Center of Waltham offers an integrated, personalized approach to reproductive surgery.

Why Reproductive Surgery Matters
During the course of fertility treatments, especially in vitro fertilization (IVF) cycles, various uterine issues can emerge that require attention. Common conditions that impact fertility include:

• Uterine fibroids: Noncancerous growths that develop in the uterus.
• Polyps: Abnormal tissue growths that can affect the uterine lining.
• Scar tissue (Asherman’s syndrome): Uterine adhesions that can block or interfere with conception.
• Retained tissue from previous pregnancies: Tissue that remains in the uterus following childbirth or miscarriage.

These conditions can be obstacles to a successful pregnancy. The ability to diagnose and treat these issues promptly is critical, and Boston IVF’s in-house Surgery Center of Waltham is equipped to address these concerns quickly and efficiently.

A Seamless, In-House Approach to Surgery
One of the standout features of Boston IVF’s reproductive surgery program is that it is housed within the same facility where fertility treatments take place. This ensures a seamless, integrated experience for patients. When a condition such as a fibroid or polyp is diagnosed during the IVF process, there’s no need to be referred to an external hospital, which could delay treatment and prolong the path to conception.

At the Waltham Ambulatory Surgery Center, patients receive immediate care, allowing them to return to their fertility treatments as soon as possible. The result is a streamlined process that minimizes interruptions and ensures that patients remain on track with their fertility goals.

Expertise in Minimally Invasive Surgery
Boston IVF specializes in a wide range of reproductive surgeries, with a focus on advanced minimally invasive techniques. This approach, which includes laparoscopic and hysteroscopic surgeries, offers numerous benefits:

• Smaller incisions
• Faster recovery times
• Less postoperative pain
• Lower risk of complications

Minimally invasive surgery is particularly effective for conditions such as uterine fibroids, endometriosis, ovarian cysts, and tubal blockages. These procedures help preserve fertility and can significantly improve the chances of a successful pregnancy.

Comprehensive Care for Complex Conditions
Beyond common reproductive conditions, the surgical team at Boston IVF is equipped to handle more complex anomalies of the reproductive system, such as Müllerian anomalies. These congenital conditions, which affect the development of the uterus, fallopian tubes, cervix, or vagina, can require intricate surgical correction to improve fertility.

Dr. Bortoletto and his team have extensive experience in performing surgeries to correct these anomalies. Their expertise ensures that even patients with the most complex reproductive challenges receive the highest standard of care.

A Collaborative Team Approach
Boston IVF prides itself on a collaborative approach to patient care. Regardless of who your primary physician is at Boston IVF, the surgical team works closely with your doctor to create a comprehensive treatment plan. By coordinating surgical procedures with fertility treatments, the team ensures that patients receive the best possible care tailored to their unique needs.

This team-based approach allows for careful planning and timing, so that patients can move seamlessly between surgery and their fertility treatments, without unnecessary delays or disruptions.

The Full Spectrum of Reproductive Surgery
Boston IVF’s Surgery Center in Waltham and their affiliated hospitals within the Beth Israel Lahey Health system offer a broad range of reproductive surgery services, including:

• Hysteroscopy: A procedure to diagnose and treat issues within the uterine cavity, such as polyps or scar tissue.
• Laparoscopy: A minimally invasive surgery used to treat conditions like endometriosis, fibroids, and ovarian cysts.
• Tubal surgery: Procedures to repair or remove damaged Fallopian tubes or address blockages that can impact fertility.
• Open laparotomy: For more complex cases, such as large fibroids, traditional open surgery may be necessary.
• Surgery for Müllerian anomalies: Addressing congenital issues that affect the reproductive organs.

Each surgery is performed with the goal of improving fertility outcomes and preserving reproductive potential for future pregnancies.

Conclusion: Committed to Your Family-Building Goals
At Boston IVF, the combination of state-of-the-art reproductive surgery and personalized care ensures that patients have access to the best possible treatment. Whether you require a minimally invasive procedure to remove a fibroid or need complex surgery for a congenital anomaly, Boston IVF’s in-house Surgery Center of Waltham provides expert care without disrupting your fertility journey.

Working in close collaboration with your physician, the surgical team at Boston IVF is committed to helping you overcome any challenges on your path to parenthood. Whatever your surgical needs, you can trust that Boston IVF will provide the comprehensive care and expertise required to support your family-building goals.