Endometriosis and scarring as depicted above can be very effectively treated with laparoscopy. The fallopian tubes can also be opened using lasers or catheters. We can work inside of the uterus using an instrument called a hysteroscope to remove scarring or fibroids. Open surgery is still used for reconstruction of the tubes after a tubal ligation procedure. Tubal reversal gives excellent results in many cases.
Surgery gives good results if there is mild to moderate disease.