Intramural Fibroids
Grow within the muscular wall of the uterus (most common type).
Laparoscopic Uterine Surgeries · Ludhiana, Punjab
Laparoscopic Myomectomy
Preserving the uterus, restoring fertility — advanced minimally invasive fibroid removal using 4K HD laparoscopic systems for precise excision, minimal blood loss, faster recovery, and excellent cosmetic results.
About laparoscopic myomectomy
Uterine fibroids are one of the most common causes of heavy menstrual bleeding, pelvic pain, and infertility in women of reproductive age. While fibroids are non-cancerous growths, their size and location can often affect a woman's comfort, confidence, and ability to conceive. At Dr Rama Sofat Hospital, Ludhiana, we specialise in Laparoscopic Myomectomy — a minimally invasive procedure designed to remove fibroids while preserving the uterus. This advanced technique allows our expert surgeons to precisely excise fibroids through small keyhole incisions using 4K HD high-definition laparoscopic systems, ensuring minimal blood loss, less pain, faster recovery, and excellent cosmetic results. Unlike traditional surgery, laparoscopic myomectomy not only restores the uterus to its natural shape and function but also optimises fertility outcomes for women planning future pregnancies.
Guided by decades of experience in fertility-preserving laparoscopic surgery, our team at Dr Rama Sofat Hospital combines world-class technology with compassionate, personalised care helping women live pain-free, regain hormonal balance, and achieve their dream of motherhood naturally.
What are fibroids?
- Fibroids, also known as uterine leiomyomas or myomas, are non-cancerous growths that develop within the muscular wall of the uterus.
- They vary in size from as small as a seed to as large as a grapefruit and can occur singly or in multiples.
- Although fibroids are common, their symptoms and effects differ from woman to woman depending on their size, number, and location.
Incidence
Uterine fibroids are among the most common gynaecological conditions affecting women of reproductive age. It is estimated that 1 in every 3 women over the age of 30 develops fibroids at some point in her life. They are particularly prevalent among women aged 30-50 years, especially those with a family history of the condition.
1 in every 3 women over the age of 30 develops fibroids at some point in her life.
Are fibroids dangerous?
Fibroids are almost always benign (non-cancerous). Less than 1% of fibroids ever become cancerous. However, untreated fibroids can enlarge significantly, leading to severe menstrual bleeding, pelvic pain, anaemia, and fertility issues. This makes timely diagnosis and management essential to protect a woman's reproductive and overall health.
Types of fibroids
Fibroids are classified based on their location in the uterus:
Subserosal Fibroids
Project outward from the uterus and can become quite large.
Submucosal Fibroids
Grow into the uterine cavity and are most likely to affect fertility and cause heavy bleeding.
Pedunculated Fibroids
Grow on thin stalks either inside or outside the uterus.
Causes & risk factors
The exact cause of fibroids isn't fully understood, but several factors increase risk:
- Hormonal imbalance (high estrogen and progesterone levels)
- Family history of fibroids
- Obesity and sedentary lifestyle
- Early onset of menstruation
- Lack of pregnancies (nulliparity)
- Vitamin D deficiency
- High red meat intake and low green vegetable diet
Symptoms of fibroids
Many women have no symptoms, while others experience:
- Heavy or prolonged menstrual bleeding
- Pelvic pain or pressure
- Frequent urination or difficulty emptying the bladder
- Constipation or bloating
- Lower back pain
- Infertility or recurrent miscarriages
- Abdominal enlargement or visible lump
Diagnosis of fibroids
At Dr Rama Sofat Hospital, Ludhiana, fibroids are diagnosed using advanced imaging and fertility-focused evaluation:
- Pelvic ultrasound (2D/3D/4D)
- Transvaginal sonography (TVS)
- Saline Infusion Sonography (SIS)
- MRI pelvis (for detailed mapping)
- Hysteroscopy or Laparoscopy to directly visualize fibroids affecting fertility
A comprehensive diagnosis helps plan the best treatment approach, especially for women planning pregnancy.
Impact on women's health
If left untreated, fibroids can cause:
- Chronic anaemia due to heavy bleeding
- Severe pelvic pain and fatigue
- Urinary and bowel disturbances
- Distortion of the uterus, leading to infertility or miscarriage
- Psychological distress, reduced energy, and low quality of life
Managing fibroids early helps women maintain hormonal balance, fertility, and overall wellbeing.
When to see a doctor
Consult a gynaecologist in Ludhiana if you experience:
- Heavy or painful periods
- Pelvic pain or pressure
- Difficulty conceiving
- Recurrent miscarriages
- Unexplained abdominal swelling
Timely evaluation can prevent complications and preserve fertility.
Treatment options
Treatment depends on the size, location, and symptoms of the fibroids, as well as the patient's fertility goals.
Medical Management
Hormonal therapy, oral contraceptives, or GnRH analogues to shrink fibroids temporarily.
Minimally Invasive Procedures
Laparoscopic Myomectomy
Precise removal of fibroids through small incisions while preserving the uterus.
Laparoscopic Myomectomy is a minimally invasive surgical procedure used to remove uterine fibroids (non-cancerous growths in the uterus) while preserving the uterus. It is an excellent option for women who wish to retain their fertility and plan pregnancy in the future. Unlike traditional open surgery, laparoscopic myomectomy is performed through small keyhole incisions, offering faster recovery, minimal pain, and excellent cosmetic results.
Why is Laparoscopic Myomectomy Done?
- Large or multiple uterine fibroids causing heavy bleeding or pain
- Fibroids that distort the uterine cavity and affect fertility
- Recurrent pregnancy loss due to fibroids
- Pelvic pressure or urinary symptoms caused by fibroid bulk
How is the Procedure Performed?
01
Small Incisions
Four tiny incisions (5–10 mm) are made in the abdomen.
02
Insertion of Laparoscope
A thin camera (laparoscope) is inserted to visualize the uterus.
03
Fibroid Removal
Special instruments are used to carefully dissect and remove fibroids from the uterine wall.
04
Uterine Repair
The uterine muscle is sutured in multiple layers to restore normal shape and strength, which is crucial for future pregnancy.
05
Closure
The incisions are closed neatly, leaving minimal scarring.
Hysteroscopic Myomectomy
Removal of fibroids within the uterine cavity using a camera inserted through the cervix.
Surgical Options
Laparoscopic Hysterectomy (for women not planning future pregnancies).
At Dr Rama Sofat Hospital, laparoscopic fibroid surgery is performed using 4K HD high-definition laparoscopic systems, ensuring precision, minimal blood loss, and quick recovery.
Advantages of laparoscopic myomectomy
Preserves fertility and uterine integrity
Minimal blood loss and reduced postoperative pain
Short hospital stay (usually discharged within 24 hours)
Quick recovery and return to routine activities
Smaller scars and better cosmetic outcome
Fertility & pregnancy considerations
Fibroids can interfere with conception by distorting the uterine cavity or blocking fallopian tubes. Our laparoscopic myomectomy focuses on preserving uterine integrity, helping women conceive naturally or through IVF later. After surgery, patients typically experience higher pregnancy success rates and reduced miscarriage risk.
Prevention & lifestyle
- Maintaining a healthy weight
- Regular exercise and stress management
- Eating a balanced diet rich in fruits, vegetables, and whole grains
- Limiting red meat and processed food
- Regular gynaecological check-ups for early detection
Myths vs facts
| Myth | Fact |
|---|---|
| Fibroids are cancerous | Over 99% are benign (non-cancerous). |
| Only older women get fibroids | Fibroids can occur even in women in their 20s and 30s. |
| Surgery always removes the uterus | Modern laparoscopic surgery preserves the uterus. |
| Fibroids always cause infertility | Many women with fibroids conceive successfully after treatment. |
| Fibroids will go away on their own | Some shrink after menopause, but symptomatic fibroids require management. |
Frequently asked questions
Can fibroids return after surgery?
Recurrence is possible, but maintaining a healthy lifestyle reduces the risk.
How long does recovery take after laparoscopic fibroid surgery?
Most women resume routine activities within 7-10 days.
Will I be able to get pregnant after fibroid removal?
Yes. Laparoscopic myomectomy often improves fertility outcomes significantly.
Are there non-surgical options for fibroids?
Yes, but medical treatments usually offer temporary relief, surgery provides a definitive cure for large or symptomatic fibroids.
When can I try for pregnancy after myomectomy?
It's generally recommended to wait 3-6 months for optimal uterine healing.
Why choose Dr Rama Sofat Hospital
Pioneers in advanced laparoscopic and fertility-preserving surgeries in North India
Led by Dr Amit Sofat, one of the most trusted gynaecologists and fertility specialists in Ludhiana
Use of 4K HD laparoscopic systems for unmatched surgical precision
Integrated fertility care combining fibroid removal with IVF expertise for complete reproductive wellness
Proven track record of successful pregnancies after fibroid surgery
Ethical, compassionate, and patient-centred approach built over 55+ years of trust
Book your consultation
If you're suffering from fibroids, heavy bleeding, or fertility issues, book your consultation with Dr Amit Sofat & Dr Ruchika Sofat at Dr Rama Sofat Hospital, Ludhiana.