Advanced, Fertility-Preserving Treatment at Paramaa Fertility & Women Care Centre
Uterine fibroids are one of the most common gynecological conditions seen in women, especially during the reproductive years. While many women may have fibroids without knowing it, for others, fibroids can significantly impact daily life, menstrual health, and the ability to conceive.
At Paramaa Fertility & Women Care Centre, we approach fibroid management with a clear objective—treat the condition effectively while preserving fertility and overall uterine health whenever possible. Under the expert supervision of Dr. Paramita Hazari, patients receive individualized care based on the size, location, and impact of fibroids on their health and reproductive goals.
Fibroid surgery is not just about removal—it is about restoring normal function, improving quality of life, and in many cases, enhancing the chances of a successful pregnancy.
Understanding Uterine Fibroids
Fibroids, medically known as leiomyomas, are non-cancerous growths that develop from the muscle layer of the uterus. They can vary widely in size—from very small nodules that go unnoticed to large masses that distort the shape of the uterus.
What makes fibroids clinically important is not just their presence, but their location and behavior. A small fibroid inside the uterine cavity may affect fertility more than a larger one outside the uterus. Similarly, multiple fibroids can alter uterine function even if each is individually small.
Fibroids are influenced by hormonal factors, particularly estrogen, and tend to grow during reproductive years.
When Do Fibroids Require Surgery?
Not all fibroids need surgical treatment. Many can be safely monitored if they are small and not causing symptoms. However, surgery becomes necessary when fibroids begin to interfere with normal bodily functions or reproductive health.
You may require fibroid surgery if you experience persistent symptoms such as heavy menstrual bleeding leading to anemia, severe pelvic pain or pressure, or difficulty in conceiving. In fertility-focused practice, surgery is often recommended when fibroids distort the uterine cavity or interfere with implantation.
In some cases, even if symptoms are mild, surgery may be advised proactively when fibroids are likely to impact IVF success or pregnancy outcomes.
How Fibroids Affect Fertility and Pregnancy
Fibroids can interfere with fertility in several ways. They may distort the uterine cavity, making it difficult for an embryo to implant. In some cases, fibroids may block the fallopian tubes or alter blood flow to the uterus, affecting embryo development.
Submucosal fibroids (those projecting into the uterine cavity) are particularly significant in infertility cases, as they directly affect implantation. Large intramural fibroids can also reduce pregnancy rates, especially in assisted reproductive treatments.
During pregnancy, fibroids may increase the risk of miscarriage, preterm labor, or complications in delivery. This is why proper evaluation and timely management are crucial.
Types of Fibroid Surgery
The choice of surgical technique depends on multiple factors, including the size, number, and location of fibroids, as well as the patient’s desire for future pregnancy.
Myomectomy: Uterus-Preserving Surgery
Myomectomy is the preferred surgical approach for women who wish to retain their uterus and plan future pregnancies. In this procedure, fibroids are removed while preserving the normal structure of the uterus.
At Paramaa, myomectomy is performed using different approaches depending on the clinical scenario:
- Laparoscopic Myomectomy is a minimally invasive procedure performed through small incisions using a camera and specialized instruments. It offers faster recovery, less pain, and minimal scarring.
- Hysteroscopic Myomectomy is used for fibroids located inside the uterine cavity. It is performed through the vagina without any external incision, making it highly effective and patient-friendly.
- Open Myomectomy may be required in cases of very large or multiple fibroids, where minimally invasive techniques are not feasible.
The goal in all cases is complete removal of fibroids while maintaining uterine integrity.
Hysterectomy: Definitive Treatment
In cases where fibroids are extremely large, multiple, or causing severe symptoms—and when future fertility is not a concern—removal of the uterus (hysterectomy) may be considered.
However, at Paramaa, this option is approached with caution, especially in younger patients, and uterus-preserving techniques are prioritized whenever possible.
Pre-Surgical Evaluation
Before recommending surgery, a detailed evaluation is essential. This ensures that the chosen treatment approach is appropriate and effective.
Evaluation typically includes advanced imaging such as transvaginal ultrasound and, when required, 3D ultrasound or MRI. These investigations help map the exact size, number, and location of fibroids.
In certain cases, diagnostic hysteroscopy or laparoscopy may be advised to better understand the uterine environment, especially in infertility cases.
What to Expect During Surgery
Fibroid surgery is performed under anesthesia, ensuring complete comfort during the procedure. The surgical approach depends on the chosen technique—laparoscopic, hysteroscopic, or open.
Minimally invasive procedures are usually completed within a short duration, and most patients are discharged either the same day or within 24 hours.
At Paramaa, strict surgical protocols are followed to ensure safety, precision, and optimal outcomes.
Recovery and Post-Surgical Care
Recovery after fibroid surgery depends on the type of procedure performed.
Minimally invasive procedures such as laparoscopy and hysteroscopy allow faster recovery, with most patients resuming daily activities within a few days. Open surgery may require a slightly longer recovery period.
Post-surgical care includes monitoring healing, managing pain if required, and planning future fertility treatment if applicable.
Patients are also guided on when it is safe to attempt conception after surgery.
Risks and Long-Term Considerations
Fibroid surgery is generally safe, especially when performed by experienced specialists. However, like any surgical procedure, it carries some risks, including bleeding, infection, or recurrence of fibroids.
Recurrence depends on individual hormonal factors, age, and number of fibroids removed. Regular follow-up is important to monitor long-term outcomes.
Our Approach at Paramaa Fertility & Women Care Centre
What sets Paramaa apart is our fertility-focused and patient-centered approach.
We do not recommend surgery unless it is truly necessary. Every case is carefully evaluated to determine whether surgery will improve symptoms, fertility outcomes, or overall health.
When surgery is required, we prioritize:
- Minimally invasive techniques
- Preservation of reproductive potential
- Faster recovery and minimal discomfort
- Integration with future fertility planning
Why Choose Paramaa?
Patients choose Paramaa for fibroid treatment because of:
- Expertise in advanced gynecological and fertility surgery
- Strong focus on uterus-preserving procedures
- Personalized treatment planning
- Integration with IVF and reproductive care
Transparent and ethical approach