Service Overview
What Is Uterus-Preserving Fibroid Surgery?
Uterus-preserving fibroid surgery is a surgical approach designed to remove problematic uterine fibroids while keeping the uterus intact.
The most common procedure used for this purpose is myomectomy. Unlike hysterectomy, which removes the uterus, myomectomy removes the fibroids while preserving the uterus.
This can be an important treatment consideration for women who:
Want to preserve their uterus
Wish to maintain the possibility of future pregnancy
Have symptomatic fibroids
Have fibroids affecting the uterine cavity or pelvic anatomy
Have not achieved adequate symptom control with non-surgical treatment
The choice of treatment depends on fibroid size, number, location, symptoms, age, reproductive plans, and overall health.
CAN FIBROIDS BE REMOVED WITHOUT REMOVING THE UTERUS?
Can You Remove Fibroids Without Removing the Uterus?
Yes. In many cases, fibroids can be removed without removing the uterus.
This procedure is called a myomectomy. During a myomectomy, the surgeon removes the fibroids while preserving the uterus.
The appropriate type of myomectomy depends on where the fibroids are located.
Laparoscopic Myomectomy
Selected fibroids can be removed using minimally invasive laparoscopic surgery through small abdominal incisions.
Hysteroscopic Myomectomy
Fibroids that project into the uterine cavity may sometimes be removed through the vagina and cervix using a hysteroscope, without abdominal incisions.
Abdominal Myomectomy
For larger, numerous, or technically complex fibroids, an abdominal approach may be required.
Your gynaecologist will determine the most appropriate surgical approach after evaluating your fibroids and reproductive goals. FERTILITY-SPARING MYOMECTOMY
What Is Fertility-Sparing Myomectomy?
Fertility-sparing myomectomy is a fibroid removal procedure performed with the objective of preserving the uterus and, where possible, supporting future reproductive plans.
Fibroids can sometimes interfere with fertility depending on their size and location. In selected patients, removing fibroids may be considered when they are associated with symptoms or reproductive concerns.
However, myomectomy does not guarantee pregnancy. Future fertility depends on several factors, including:
Age
Ovarian reserve
Fallopian tube function
Sperm factors
Fibroid characteristics
Endometriosis or other pelvic conditions
Previous pelvic surgery
Overall reproductive health
A fertility-focused assessment can help determine whether myomectomy is appropriate. TYPES OF FIBROIDS
Which Fibroids May Require Surgical Treatment?
Submucosal Fibroids
These fibroids grow toward or into the uterine cavity and can contribute to heavy menstrual bleeding and, in some cases, fertility problems.
Intramural Fibroids
These develop within the muscular wall of the uterus. Treatment depends on their size, number, location, symptoms, and effect on the uterus.
Subserosal Fibroids
These grow toward the outside of the uterus and may cause pelvic pressure, pain, or other symptoms.
Multiple or Large Fibroids
When there are multiple or large fibroids, treatment planning can be more complex. Imaging and detailed surgical assessment are important before deciding whether myomectomy is appropriate.
LAPAROSCOPIC UTERINE PRESERVATION Laparoscopic Uterine Preservation for Fibroids
Laparoscopic uterine preservation uses minimally invasive surgical techniques to remove suitable fibroids while retaining the uterus.
During laparoscopic myomectomy, the surgeon typically:
Creates small abdominal incisions.
Inserts a laparoscope to visualise the pelvic organs.
Locates and removes the fibroid or fibroids.
Repairs the uterine muscle.
Removes the fibroid tissue through an appropriate surgical route.
Not every fibroid can be removed laparoscopically. The size, number, location, depth, and characteristics of the fibroids all influence whether this approach is suitable
Potential Benefits of Uterus-Sparing Fibroid Surgery
When clinically appropriate, uterus-preserving surgery may provide several potential benefits:
Removes symptomatic fibroids
Preserves the uterus
Avoids hysterectomy
May support future pregnancy plans
Can be performed using minimally invasive techniques in selected cases
May reduce fibroid-related heavy bleeding and pressure symptoms
Provides an individualised surgical approach based on fibroid characteristics
The potential benefits and risks should be discussed with your gynaecologist before treatment.
[SECTION 7: WHO MAY BE A CANDIDATE?]
Who May Be Suitable for Uterus-Sparing Fibroid Surgery?
Uterus-preserving fibroid surgery may be considered for women who:
Have symptomatic fibroids
Want to preserve their uterus
Are planning a future pregnancy
Have fibroids that may be contributing to fertility concerns
Have heavy or prolonged menstrual bleeding
Experience pelvic pressure or pain
Have fibroids that have not responded adequately to conservative treatment
A detailed evaluation is necessary before surgery is recommended.
OUR TREATMENT PROCESS
Our Fertility-Sparing Myomectomy Process
1. Initial Consultation
The gynaecologist discusses your symptoms, medical history, previous treatments, pregnancy plans, and fertility concerns.
2. Fibroid Assessment
Imaging such as ultrasound or MRI may be recommended to determine the size, number, and location of the fibroids.
3. Fertility-Focused Treatment Planning
Your doctor considers both fibroid treatment and your reproductive goals when discussing treatment options.
4. Surgical Approach Selection
Depending on the fibroids, the surgeon may recommend laparoscopic, hysteroscopic, or abdominal myomectomy.
5. Fibroid Removal
The selected surgical technique is used to remove the fibroids while preserving the uterus where feasible.
6. Post-Surgical Recovery
You receive personalised guidance regarding activity, medication, follow-up, and when it may be appropriate to consider pregnancy.
FUTURE PREGNANCY
Uterus-Preserving Fibroid Surgery and Future Pregnancy
For women planning pregnancy, preserving the uterus can be an important consideration when treating fibroids.
However, fibroid removal does not guarantee future pregnancy. The effect of fibroids on fertility varies according to their location, size, number, and other reproductive factors.
After myomectomy, your doctor may recommend a period of recovery before attempting conception. The recommended timing can vary depending on the surgical procedure and extent of uterine repair.
Women planning pregnancy should discuss their reproductive timeline with their gynaecologist before and after surgery.
UTERUS-SPARING FIBROID SPECIALIST IN DWARKA
Uterus-Sparing Fibroid Specialist in Dwarka, Delhi
If you are searching for a uterus sparing fibroid specialist in Dwarka Sector 12, a specialist consultation can help determine whether myomectomy or another fibroid treatment is appropriate.
Women from Dwarka Sector 6, Sector 7, Sector 10, Sector 11, Sector 12, Sector 13, Sector 14, Sector 17, Sector 19 and surrounding Delhi NCR areas can seek evaluation for symptomatic or fertility-related fibroid concerns.
The treatment plan should be based on your fibroid characteristics, symptoms, reproductive goals, and overall health.
Fertility-Sparing Myomectomy Cost in Dwarka
The cost of fertility-sparing myomectomy in Dwarka can vary depending on:
Number of fibroids
Fibroid size and location
Surgical approach
Complexity of surgery
Surgeon and hospital charges
Anaesthesia
Diagnostic imaging
Length of hospital stay
Post-operative treatment
A personalised estimate can be provided after clinical assessment and treatment planning. Schedule a Fibroid Consultation
SAFETY & RISKS
Is Uterus-Preserving Fibroid Surgery Safe?
Myomectomy is a commonly performed treatment for uterine fibroids, but every surgical procedure has potential risks.
Possible complications can include:
Bleeding
Infection
Scar tissue formation
Injury to surrounding organs
Recurrence of fibroids
Need for additional treatment
Rarely, conversion to a different surgical approach
The risks depend on the number, size, and location of fibroids and the type of surgery performed.
Your gynaecologist will discuss the expected benefits, risks, alternatives, and implications for future pregnancy before surgery.
Personalised Uterus-Preserving Fibroid Care
Fertility-Focused Planning
Treatment planning takes future pregnancy goals into consideration where clinically appropriate.
Uterus Preservation
Myomectomy removes fibroids while retaining the uterus rather than performing a hysterectomy.
Minimally Invasive Options
Laparoscopic or hysteroscopic approaches may be considered for suitable fibroids.
Detailed Fibroid Mapping
Imaging helps determine fibroid size, number, and location before treatment.
Individualised Surgical Approach
The surgical technique is selected according to the patient's condition rather than using a one-size-fits-all approach.
Uterus-Preserving Fibroid Surgery: Frequently Asked Questions
Can you remove fibroids without removing the uterus?
Yes. A myomectomy removes fibroids while preserving the uterus. Depending on the fibroid's location and characteristics, the procedure may be performed laparoscopically, hysteroscopically, or through an abdominal approach.
What is fertility-sparing myomectomy?
Fertility-sparing myomectomy is the surgical removal of fibroids while preserving the uterus, with consideration given to the patient's future reproductive plans.
Can I get pregnant after a myomectomy?
Pregnancy may be possible after myomectomy, but the outcome depends on individual fertility factors and the characteristics of the fibroids. Your doctor can discuss your specific circumstances.
Is laparoscopic myomectomy suitable for large fibroids?
Some large fibroids can be removed laparoscopically, but size alone does not determine suitability. The number, location, depth, and other characteristics of the fibroids also matter.
How long does it take to recover after laparoscopic myomectomy?
Recovery varies according to the extent of surgery and individual health. Your surgeon will provide specific instructions about returning to work, exercise, and other activities.
Can fibroids come back after uterus-preserving surgery?
Yes. Myomectomy removes existing fibroids but does not necessarily prevent new fibroids from developing in the future.
What is the difference between myomectomy and hysterectomy?
Myomectomy removes fibroids while preserving the uterus. Hysterectomy removes the uterus. The choice depends on the patient's medical condition, treatment goals, reproductive plans, and other factors.