Dr. Samhitha Reddy
Consultant Proctologist & Laparoscopic Surgeon
MBBS, MS, FMAS, FISCP, DMAS
- 8 Yrs
- ASCRS Member
Gynaecology · Uterine Health
Uterine Fibroids Treatment in Hyderabad: Uterus-Preserving Care at Lux Hospitals
Fibroids are benign muscular growths in the wall of the uterus, and they are extremely common: by the age of fifty, most women have had one. Many never know.
The ones that matter cause heavy bleeding, pressure and pain, and they are frequently treated with a hysterectomy that was not necessary. Our gynaecologists at Lux Hospitals, HITEC CITY begin from the position that the uterus is worth preserving where it reasonably can be.
- Uterus Preserved
- Laparoscopic Myomectomy
- Women Gynaecologists
What are Uterine Fibroids?
Fibroids (properly leiomyomas) are benign tumours arising from the smooth muscle of the uterine wall. Each grows from a single cell, which is why a woman can have one fibroid or twenty, ranging from a few millimetres to the size of a melon. They are not cancer, and they do not become cancer: the malignant equivalent, leiomyosarcoma, is a distinct and rare tumour that arises independently.
Where a fibroid sits matters far more than how big it is. Submucosal fibroids bulge into the cavity of the uterus and cause heavy bleeding and miscarriage out of all proportion to their size. Intramural fibroids sit within the muscle wall and are the commonest type. Subserosal fibroids project outward and tend to cause pressure on the bladder or bowel rather than bleeding. Pedunculated fibroids hang on a stalk and can twist.
Fibroids are oestrogen and progesterone dependent. They grow through the reproductive years, often enlarge during pregnancy, and characteristically shrink after menopause. This hormonal dependence is what makes several of the medical treatments work, and it is also why a fibroid growing after menopause is treated as a warning sign rather than a nuisance.
Causes of Uterine Fibroids
The trigger for the initial cell change is not known, but the factors that drive growth are well established.
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Oestrogen and progesterone
Fibroids carry more hormone receptors than surrounding muscle. They grow through the reproductive years and shrink after menopause.
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Genetics
Specific genetic changes are found within fibroid tissue, and a mother or sister with fibroids substantially raises your risk.
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Ethnicity
Fibroids are considerably commoner, appear earlier and grow larger in women of African descent: one of the strongest associations known.
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Age
Incidence rises through the thirties and forties and peaks in the years before menopause.
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Obesity
Fat tissue produces oestrogen, and higher body weight is associated with both more fibroids and larger ones.
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Never having been pregnant
Pregnancy appears protective, and risk falls with each pregnancy carried to term.
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Vitamin D deficiency
Consistently associated with fibroid development, and worth correcting though it is not established as a treatment.
Nothing in your diet or lifestyle caused your fibroids. Diet influences growth modestly at most, and claims that particular foods dissolve fibroids have no basis.
Symptoms of Uterine Fibroids
Most fibroids cause nothing. Where they do, the symptoms follow from where they sit.
Bleeding symptoms
- Heavy periods, sometimes with clots
- Periods lasting longer than seven days
- Bleeding between periods
- Anaemia: fatigue, breathlessness, pallor
- Flooding that soaks through protection
- Needing to change protection hourly
Pressure and other symptoms
- A feeling of pressure or fullness in the lower abdomen
- A visibly enlarged or swollen abdomen
- Passing urine frequently, or difficulty emptying the bladder
- Constipation or difficulty opening the bowels
- Pain during intercourse
- Difficulty conceiving or recurrent miscarriage
Heavy bleeding is the symptom most often endured for years. Iron-deficiency anaemia from fibroids is extremely common and easily missed, and correcting it frequently transforms how a woman feels regardless of what is done about the fibroid.
How Fibroids are Diagnosed
Ultrasound diagnoses most fibroids. Further imaging is about mapping them precisely enough to plan treatment.
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Pelvic examination
An enlarged, firm, irregular uterus is often felt. Frequently the first indication, and sometimes found incidentally.
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Transvaginal ultrasound
The first-line test. It counts the fibroids, measures them and (most importantly) establishes their position relative to the cavity.
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Saline infusion sonography
Fluid instilled into the cavity to outline submucosal fibroids, which are the ones causing heavy bleeding and fertility problems.
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MRI pelvis
Maps large or numerous fibroids precisely before myomectomy or embolisation, and helps distinguish fibroids from adenomyosis.
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Blood tests
Haemoglobin and ferritin, since chronic heavy bleeding causes iron deficiency long before it causes obvious anaemia.
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Hysteroscopy
Direct inspection of the cavity, which both confirms submucosal fibroids and allows them to be removed in the same procedure.
A fibroid that grows after menopause, or that grows unusually rapidly, is investigated further. It is very rarely sinister, but that is precisely the situation where it must not be assumed benign.
Treatment Options
Treatment depends on your symptoms, your fibroids’ position and whether you want to preserve fertility, not on their size alone.
Non-surgical
Observation, medication and embolisation
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Watchful waiting
Correct for fibroids causing no symptoms, whatever their size. They frequently shrink after menopause without any intervention.
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Tranexamic acid and NSAIDs
Reduce menstrual blood loss substantially without affecting the fibroid itself. Taken only during the period.
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Hormonal IUD
A levonorgestrel device that markedly reduces bleeding. Well suited to intramural fibroids where the cavity is not distorted.
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GnRH analogues
Shrink fibroids by inducing a temporary menopausal state. Used before surgery to reduce size and correct anaemia, not long term.
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Iron replacement
Oral or intravenous iron to correct the anaemia, which often improves symptoms as much as treating the fibroid does.
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Uterine fibroid embolisation
A radiologist blocks the arteries supplying the fibroids through a catheter in the wrist or groin. No incision, short recovery, uterus preserved.
Surgical
Myomectomy and hysterectomy
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Hysteroscopic myomectomy
Submucosal fibroids removed through the cervix with no incision at all. Day care, and the treatment of choice for bleeding and fertility problems.
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Laparoscopic myomectomy
Keyhole removal of intramural and subserosal fibroids with the uterus repaired and preserved. Small incisions and a faster recovery than open surgery.
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Open myomectomy
Through an abdominal incision, for very large or numerous fibroids where keyhole removal is not feasible.
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Laparoscopic hysterectomy
Removal of the uterus where family is complete and other treatments have failed. Definitive, and the only option that guarantees no recurrence.
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Endometrial ablation
Destroying the uterine lining to control bleeding, suitable for small fibroids where the cavity is not distorted and family is complete.
Hysterectomy is the only treatment that eliminates the possibility of recurrence, but for a woman who wants to keep her uterus, myomectomy and embolisation both work well, and the choice belongs to her.
The Laparoscopic Myomectomy Procedure
Myomectomy takes ninety minutes to three hours depending on the number and position of the fibroids.
Keyhole uterus-preserving surgery under general anaesthesia
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Pre-operative preparation
Anaemia corrected with iron beforehand, and GnRH analogues sometimes given for two to three months to shrink large fibroids and reduce blood loss.
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Anaesthesia and access
General anaesthesia, with a camera port at the umbilicus and three further small ports across the lower abdomen.
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Reducing blood loss
Vasopressin injected into the uterine wall around each fibroid to constrict vessels. Blood loss is the main technical challenge of this operation.
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Opening onto the fibroid
An incision made over the fibroid and carried down to its capsule: the plane where it separates cleanly from normal muscle.
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Enucleating the fibroid
The fibroid shelled out of its capsule with traction and countertraction, staying in the correct plane so healthy muscle is preserved.
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Repairing the uterus
The defect closed in layers with strong sutures. This repair is what determines whether the uterus is safe for a future pregnancy.
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Retrieval and closure
Fibroids removed in a containment bag, an anti-adhesion barrier placed, and the ports closed.
The layered closure of the uterine wall is the step that matters most for anyone hoping to conceive. A poorly repaired uterus carries a genuine risk of rupture in labour, and it is the reason this operation rewards experience.
Why Choose Lux Hospitals for Fibroid Treatment?
Too many fibroids are treated with hysterectomy when the uterus could have been kept. Here is why patients trust us:
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Uterus preserved wherever possible
Hysteroscopic and laparoscopic myomectomy offered as genuine first options, with hysterectomy discussed rather than assumed.
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Position mapped before treatment
Where a fibroid sits determines what it causes and how it is best removed, so it is mapped properly rather than treated on size alone.
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Comprehensive care
From the first consultation through to post-treatment follow-up, with one team throughout.
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Convenient location
Our hospital is in HITEC CITY, near IKEA: easily reachable from across Hyderabad.
Recovery & Aftercare
Recovery ranges from a same-day discharge after hysteroscopic removal to three weeks after open myomectomy.
- Days 1–3
Hysteroscopic myomectomy is day care with light bleeding for a few days. After laparoscopic myomectomy, discharge at two to three days.
- Days 4–14
Port-site soreness settles. Light bleeding or discharge is expected. Most women return to desk work at two weeks.
- Weeks 2–6
Activity increases gradually. Intercourse resumes at four to six weeks. Histology of the removed fibroids is reviewed at follow-up.
- Months 2–6
Bleeding patterns settle and anaemia corrects. After myomectomy, conception is generally advised to wait three to six months.
- Long term
Periodic ultrasound where fibroids remain or recur. Recurrence after myomectomy is common: roughly a quarter within five years.
Aftercare
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Wait before conceiving after myomectomy
Three to six months allows the uterine repair to heal fully. Conceiving too soon risks the scar giving way later in pregnancy.
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Correct your iron, not just the fibroid
Years of heavy bleeding deplete iron stores well beyond what haemoglobin shows. Replacing it often improves how you feel more than anything else.
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Tell any future obstetrician about the surgery
A myomectomy scar in the uterine wall affects how labour is managed, and a caesarean is often recommended. This must be on record.
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Expect recurrence to be possible
Myomectomy removes existing fibroids but not the tendency to form them. Around a quarter of women develop new ones within five years.
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Avoid heavy lifting for six weeks
The uterine repair and the abdominal wall both need time. Walking is encouraged from the first day.
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Report heavy bleeding or fever
Bleeding heavier than a normal period, fever, or increasing rather than settling pain all need review rather than waiting.
Fibroids shrink naturally after menopause. For a woman close to it with tolerable symptoms, waiting is a legitimate strategy rather than avoidance, and it is worth discussing openly.
When Should You See a Gynaecologist?
Book a consultation if any of the following apply.
- Periods heavy enough to soak through protection or pass large clots.
- Periods lasting longer than seven days.
- Fatigue, breathlessness or pallor suggesting anaemia.
- A feeling of pressure, or a visibly swollen lower abdomen.
- Passing urine frequently, or difficulty emptying the bladder.
- Difficulty conceiving, or recurrent miscarriage, with known fibroids.
Cost of Fibroid Treatment in Hyderabad
Cost varies widely with the treatment chosen, and several effective options avoid surgery entirely.
| Procedure | Estimated Cost |
|---|---|
| Consultation Per visit | ₹800 – ₹1,500 |
| Transvaginal ultrasound Counts and maps fibroids | ₹1,500 – ₹3,500 |
| MRI pelvis Before myomectomy or embolisation | ₹8,000 – ₹18,000 |
| Hormonal IUD insertion Includes device; lasts five years | ₹12,000 – ₹25,000 |
| Hysteroscopic myomectomy Day care; no incision | ₹75,000 – ₹1,40,000 |
| Laparoscopic myomectomy Two to three nights | ₹1,50,000 – ₹2,80,000 |
| Uterine fibroid embolisation Includes embolic material | ₹1,80,000 – ₹3,20,000 |
| Laparoscopic hysterectomy Two to three nights | ₹1,60,000 – ₹2,90,000 |
What changes the estimate
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Number, size and position
A single submucosal fibroid is removed hysteroscopically as day care. Multiple large intramural fibroids require a considerably longer operation.
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Whether the uterus is preserved
Myomectomy is technically more demanding than hysterectomy and takes longer, but it keeps the uterus, which for many women is the point.
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Pre-operative preparation
Correcting anaemia and shrinking fibroids with GnRH analogues beforehand adds cost but makes surgery safer.
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Room category
A shared ward, a twin-sharing room or a private suite: the largest single swing in most estimates.
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Insurance & TPA cover
We are empanelled with most major insurers, and our team files the pre-authorisation for you.
Every figure above is an indicative range, not a quote. After your consultation you are given a written, fixed-cost estimate, and that is the number you pay, with no additions once treatment begins.
Other Gynecology & Obstetrics Treatments
Our Surgeons
Uterine Fibroids Specialists at Lux Hospitals
The gynaecologists who treat uterine fibroids at our HITEC CITY hospital.
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Dr. Harshita Kakarla
Consultant Gynaecologist & Advanced Laparoscopic Surgeon
MBBS, MS, FMAS
16 years experience
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Dr. Ashwani Narla
Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon
MBBS, MS (Obstetrics & Gynaecology)
11 years experience
Testimonials
What Patients Say About Their Treatment
Reviews from women treated for gynaecological conditions at Lux Hospitals, Hyderabad.
From the Blog
Latest Health Articles by Lux
Written by Dr. Harshita Kakarla on women’s health and gynaecological care.
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Got Questions?
Frequently Asked Questions
Common questions about uterine fibroids, myomectomy, hysterectomy and costs at Lux Hospitals.
Which is the best treatment for uterine fibroids?
There is no single best treatment: it depends on your symptoms, where the fibroids sit and whether you want to keep your uterus. Submucosal fibroids causing heavy bleeding are best removed hysteroscopically. Intramural fibroids suit laparoscopic myomectomy or embolisation. Hysterectomy is definitive where family is complete and other options have failed.
Can fibroids be treated without surgery?
Yes, in several ways. Tranexamic acid and a hormonal IUD substantially reduce bleeding without touching the fibroid. GnRH analogues shrink fibroids temporarily. Uterine fibroid embolisation blocks their blood supply through a catheter with no incision at all, preserving the uterus with a short recovery.
Can uterine fibroids go away on their own?
They rarely disappear during the reproductive years, but they characteristically shrink after menopause when oestrogen falls. For a woman close to menopause with manageable symptoms, waiting is a reasonable strategy. Fibroids also often shrink in the months after pregnancy.
Are fibroids dangerous or cancerous?
Fibroids are benign and do not turn into cancer. The malignant equivalent, leiomyosarcoma, is a separate and rare tumour that arises independently rather than developing from a fibroid. A fibroid growing after menopause or growing unusually fast is investigated further, since that is the situation where malignancy must be excluded.
Is surgery always necessary for fibroids?
No, and most fibroids need no treatment at all. Surgery is indicated for heavy bleeding causing anaemia, significant pressure symptoms, pain, or fibroids affecting fertility. A fibroid that causes no symptoms is left alone regardless of how large it appears on a scan.
Can I still get pregnant with uterine fibroids?
Most women with fibroids conceive without difficulty. The ones that interfere are submucosal fibroids distorting the cavity, which reduce implantation and raise miscarriage risk, and removing those measurably improves outcomes. Intramural and subserosal fibroids generally have much less effect on fertility.
Is laser or embolisation treatment for fibroids safe?
Uterine fibroid embolisation is well established and safe, blocking the fibroids’ blood supply through a catheter with no incision and a short recovery. It preserves the uterus, though it is generally not first choice for women planning pregnancy, where myomectomy has better evidence.
Will fibroids come back after removal?
After myomectomy, yes: around a quarter of women develop new fibroids within five years, because the operation removes existing fibroids but not the tendency to form them. Hysterectomy is the only treatment that eliminates recurrence entirely, which is part of the trade-off in choosing between them.
What is the diet treatment for uterine fibroids?
No diet treats or dissolves fibroids, and claims otherwise are not supported. What helps genuinely is correcting iron deficiency from heavy bleeding, maintaining a healthy weight since fat tissue produces oestrogen, and correcting vitamin D deficiency, which is consistently associated with fibroid development.
How much does fibroid treatment cost in Hyderabad?
A hormonal IUD is ₹12,000–₹25,000 and lasts five years. Hysteroscopic myomectomy is ₹75,000–₹1,40,000 as day care, laparoscopic myomectomy ₹1,50,000–₹2,80,000, embolisation ₹1,80,000–₹3,20,000, and laparoscopic hysterectomy ₹1,60,000–₹2,90,000.
Still have questions? Call us at 079 6908 4422
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Book a Fibroid Consultation in Hyderabad
Fibroids mapped properly and treated with the uterus preserved wherever possible, with costs shared upfront.
Plot No.116, Lumbini Avenue, HITEC CITY, Near IKEA, Hyderabad – 500032