Fibroid Treatment & Myomectomy in Delhi
Assessment and removal of uterine fibroids, with the uterus preserved wherever possible.
What fibroid treatment & myomectomy involves
Fibroids are benign muscle growths in the uterine wall. Most cause no trouble. Those that do cause heavy bleeding, pressure symptoms, recurrent miscarriage or infertility, and whether they matter depends far more on their position than their size.
A 2 cm submucous fibroid distorting the cavity affects fertility more than an 8 cm one on the outer surface. The assessment therefore starts with mapping, and surgery is recommended only where the fibroid explains the symptom.
Who this is for
- Heavy or prolonged periods with anaemia
- Pressure symptoms, urinary frequency or abdominal swelling
- Submucous fibroids distorting the uterine cavity
- Recurrent miscarriage or failed implantation with fibroids present
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Mapping
Transvaginal ultrasound, and saline sonography or hysteroscopy to define the relationship to the cavity.
Decision
Observation, medical management or surgery, based on symptoms and fertility plans.
Hysteroscopic myomectomy
Submucous fibroids removed through the cervix with no abdominal incision.
Laparoscopic myomectomy
Intramural and subserosal fibroids removed through keyhole incisions with careful uterine repair.
Your results, in writing
Whatever the outcome of fibroid treatment & myomectomy, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: A 2 cm fibroid that mattered more than an 8 cm one
35, Karol Bagh · two failed IVF transfers · multiple fibroids
What she came in with
Two good blastocyst transfers, both negative. She had been told her fibroids were 'too small to matter' — the largest being 3 cm — and to simply try again.
What the workup showed
Saline infusion sonography showed a 2.1 cm submucous fibroid indenting the cavity by more than half, classified FIGO type 2. The other fibroids, including a 3 cm subserosal one, were nowhere near the cavity and were irrelevant.
What we did
Hysteroscopic resection of the submucous fibroid alone, through the cervix with no abdominal incision, as a day case. The other fibroids were left entirely alone.
Outcome
A follow-up hysteroscopy at eight weeks showed a normal cavity. The next frozen transfer, with an embryo from the original cohort, implanted and went to term.
The point of this case
Position decides whether a fibroid matters, not size. A 2 cm fibroid in the cavity halves implantation; an 8 cm one on the outer wall often changes nothing.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Uterus-preserving surgery as the default in women who want children
Meticulous multi-layer uterine repair to protect future pregnancy
Anaemia corrected before surgery rather than after
Honest advice when a fibroid genuinely needs no treatment at all
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about fibroid treatment & myomectomy
Do all fibroids need removal?
No. Asymptomatic fibroids that do not distort the cavity are usually just monitored.
Can I conceive after myomectomy?
Yes. We normally advise waiting three to six months depending on how deeply the uterine wall was entered.
Will fibroids come back?
New ones can form. Recurrence over five years is around 15–30%, higher when many were removed.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.