GYNAECOLOGY · CONDITION GUIDE
Uterine Fibroids
Non-cancerous growths of the uterine muscle that can cause heavy periods, pelvic pressure, pain, and fertility complications — ranging from small and asymptomatic to large and debilitating.
ABOUT THIS CONDITION
What is Uterine Fibroids?
Uterine fibroids (also called leiomyomas or myomas) are benign tumours arising from the smooth muscle of the uterus. They vary widely in size, number, and location — within the uterine wall (intramural), beneath the inner lining (submucosal), or on the outer surface (subserosal). Fibroids are one of the most common reasons for heavy menstrual bleeding, pelvic pain, and pressure symptoms. They can also affect fertility and pregnancy outcomes. Dr. Ashwani Narla offers a full range of fibroid treatments — from minimally invasive procedures to surgery — at Lux Hospitals, Hyderabad.
SIGNS TO WATCH
Common Symptoms
Symptoms that need attention
WHY IT HAPPENS
Causes & Risk Factors
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Oestrogen and progesterone stimulating fibroid growth during reproductive years
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Genetic mutations in uterine smooth muscle cells
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Family history of fibroids increasing individual risk significantly
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Excess body weight raising oestrogen levels and risk
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Early onset of menstruation associated with higher fibroid incidence
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Dietary factors including high red meat and low vegetable intake
CLINICAL DETAILS
KeyFacts
Benign smooth muscle tumours; rarely become cancerous
Myomectomy, hysteroscopic myomectomy, hysterectomy, UAE, or RFA/HIFU
Submucosal fibroids most likely to affect implantation and pregnancy
Many fibroids are asymptomatic; treatment depends on symptoms and size
Laparoscopic myomectomy allows return to routine in 2–4 weeks
Available at Lux Hospitals, Hitech City, Hyderabad
HOW WE TREAT IT
Treatment Approach
Myomectomy (Laparoscopic / Open)
Surgical removal of fibroids while preserving the uterus — preferred for women wishing to retain fertility.
- 1
Consultation & Assessment
Dr. Ashwani Narla takes a detailed history, performs a pelvic exam, and requests ultrasound or MRI to map fibroid size, number, and location.
- 2
Treatment Planning
A personalised plan is created based on fibroid type, severity of symptoms, and whether fertility preservation is desired.
- 3
Surgical Procedure
Myomectomy (laparoscopic or open), hysteroscopic resection, UAE, or hysterectomy is performed based on the clinical plan.
- 4
Follow-up
Follow-up imaging confirms fibroid clearance and uterine healing.
AVAILABLE TREATMENTS
TreatmentOptions
Myomectomy (Laparoscopic / Open)
Surgical removal of fibroids while preserving the uterus — preferred for women wishing to retain fertility.
Hysteroscopic Myomectomy
Removal of submucosal fibroids through a hysteroscope inserted via the vagina — no incisions required, ideal for fibroids inside the uterine cavity.
Hysterectomy
Complete removal of the uterus — definitive treatment for women with severe symptoms who do not wish to conceive.
Uterine Artery Embolisation (UAE)
A minimally invasive radiological procedure that blocks blood supply to fibroids, causing them to shrink — suitable for selected cases.
Radiofrequency Ablation (RFA) / HIFU
Non-surgical techniques using heat energy to destroy fibroid tissue — available at selected centres for appropriate candidates.
COMMON QUESTIONS
Frequently Asked Questions
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