Uterine fibroids are non-cancerous growths that can develop within the uterine wall, inside the uterine cavity or toward the outer surface of the uterus. Many fibroids cause no problems, while others can lead to heavy periods, pelvic discomfort, pressure symptoms or reproductive concerns.
Women considering a laparoscopic surgeon for fibroids should first understand whether their fibroids actually require surgery.
For patients in Airoli, Navi Mumbai, Maharashtra, treatment decisions are generally influenced by symptoms, fibroid characteristics, age and future pregnancy plans.
When Can Fibroids Require Treatment?
Finding a fibroid on an ultrasound does not automatically mean it should be removed.
Treatment may become appropriate when symptoms include:
- Heavy or prolonged menstrual bleeding
- Anemia associated with blood loss
- Persistent pelvic pressure
- Pelvic or lower abdominal pain
- Frequent urination due to bladder pressure
- Abdominal enlargement
- Fertility difficulties in selected cases
The position of a fibroid is particularly important. A smaller fibroid affecting the uterine cavity can sometimes have greater clinical significance than a larger fibroid growing outward.
What Is Laparoscopic Fibroid Surgery?
Laparoscopic surgery uses small abdominal incisions through which a camera and surgical instruments are introduced.
A laparoscopic myomectomy involves removing selected fibroids while preserving the uterus. It may be considered for women who want uterine preservation, including some patients who are planning pregnancy.
However, not every fibroid can or should be treated laparoscopically.
Laparoscopic Surgery or Open Surgery
The choice depends on several factors rather than incision size alone.
Doctors may consider:
- Number of fibroids
- Fibroid dimensions
- Location and depth
- Overall uterine size
- Previous abdominal operations
- Other gynecological conditions
- Future fertility plans
- General health
Open surgery can remain appropriate when fibroids are particularly large, numerous or technically difficult to remove safely through a minimally invasive approach.
What Should Be Checked Before Surgery?
Ultrasound is commonly used to evaluate the uterus and fibroids. In selected situations, additional imaging may help provide more detailed information.
Blood tests may also be required, particularly when heavy menstrual bleeding has caused anemia.
Women planning pregnancy should tell their surgeon before deciding on treatment. Preserving the uterus does not necessarily mean every procedure has the same implications for future pregnancy.
Questions to Discuss With Your Surgeon
Before proceeding, consider asking:
- Do my fibroids currently require surgery?
- Where are they located?
- Can medication or observation be considered?
- Is laparoscopic myomectomy appropriate?
- What alternatives are available?
- How long could recovery take?
- How could surgery affect future pregnancy?
Parulekar Hospital in Airoli, Navi Mumbai provides gynecological and laparoscopic surgical evaluation for women with fibroids and related conditions.
A suitable surgical plan should address the symptoms that matter to the patient while also considering uterine preservation, reproductive plans and long-term gynecological health.
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