Fibroids?
See all your treatment options before you decide on surgery.
A fibroid can be left alone. Treated with medicines. Removed through hysteroscopy. Removed with laparoscopic or robotic surgery. Or, in selected women, treated with UAE, RFA or Microwave Ablation. And sometimes hysterectomy really is the right answer.
The important question is: Which one is right for you?
Your scans reviewed. Relevant options compared. Costs explained. Clear next step.
Treatments We Help You Compare
- ✓No procedure: Observation · Medicines · Hormonal treatment
- ✓Treat from inside uterus: Hysteroscopic fibroid removal (zero cuts)
- ✓Keep the uterus: Laparoscopic & Robotic Myomectomy
- ✓Non-cutting interventions: UAE / UFE · RFA · Microwave Ablation
- ✓Definitive surgery: Laparoscopic & Robotic Hysterectomy
Not Every Fibroid Needs Treatment.
This is probably the most important thing on this page.
A fibroid is not cancer. And finding one on an ultrasound does not automatically mean it needs to be removed.
A small fibroid can sometimes matter a lot. A bigger fibroid can sometimes be left alone. Treat what the fibroid is doing — not simply the number of centimetres on the scan.
Fibroid Treatment is Not a Binary Choice
Treatment can stop at any one of these 5 levels:
Do Nothing
Observation & monitoring
Control Symptoms
Medicines & Mirena IUD
Remove Fibroid
Hysteroscopy or Myomectomy
Treat Without Surgery
UAE / UFE, RFA or MWA
Remove Uterus
Laparoscopic/Robotic Hysterectomy
3 Things Worth Knowing Before You Decide:
A small submucosal fibroid that pushes into the uterine cavity can cause severe bleeding or block pregnancy, whereas a 5 cm fibroid sitting in the outer wall may cause zero issues.
You can have an incidental fibroid alongside a thyroid problem, endometrial polyp, adenomyosis, or hyperplasia. Diagnose the bleeding before choosing a procedure.
For straightforward fibroids, standard laparoscopy is already excellent. Robotics adds genuine value when surgery is technically difficult: very large/multiple fibroids, broad-ligament location, or deep pelvic dissection.
What Are You Actually Trying to Figure Out?
“They found a fibroid. Do I need to do anything?”
Maybe not. If it is small, not causing symptoms, and not affecting fertility or nearby organs, the right treatment may simply be observation.
“My periods are extremely heavy.”
The fibroid may be responsible, but do not stop the investigation. Heavy bleeding can also come from adenomyosis, polyps, lining thickness, or thyroid disorders.
“I have fibroids and I want a baby.”
We need to know: Does the fibroid push into the cavity? Is it likely to affect implantation? Could surgery create scarring that causes more problems than leaving it alone?
“I've already been told I need surgery.”
Can you keep your uterus? Hysteroscopy vs Myomectomy? Laparoscopic vs Robotic? Could UAE or ablation work? Why is hysterectomy being advised?
Where is Your Fibroid?
Three fibroids of the exact same size can need three completely different treatments.
Inside the Cavity
Causes heavy bleeding and fertility obstacles. Can often be removed via hysteroscopy with zero abdominal cuts.
Inside the Muscle Wall
Treatment depends on size and whether it indents the inner cavity lining. May require myomectomy if symptomatic.
Outside the Uterus
Grows towards the pelvis. Causes bulk pressure, pelvic heaviness, or bladder urgency as it enlarges.
“Uterus-preserving” and “fertility-preserving” are not always the same thing. Do not operate on an incidental ultrasound finding without proving it affects implantation.
Small fibroids often shrink naturally as estrogen levels decline. If symptoms are manageable, observation may safely avoid an operation.
Indicative Fibroid Treatment Costs
From medicines to robotic myomectomy and UAE across accredited network hospitals.
Tranexamic acid, oral progestins, or Mirena LNG-IUD device (~₹10k–₹25k).
Nursing home setup (~₹50k–₹60k) to top-tier hospital (~₹2L–₹2.5L).
Cath lab interventional radiology procedure reducing blood supply.
Da Vinci robotic console for large, multiple or broad-ligament fibroids.
What Should the Work-Up Actually Answer?
Track complete blood count (CBC) and ferritin before chronic exhaustion sets in.
Number, exact FIGO classification, size, and whether adenomyosis is present.
Ensure small cervical polyps causing heavy bleeding are not missed on scan.
If lining is abnormally thickened, sample tissue before deciding on hysterectomy.
Hysteroscopic Fibroid Removal
If the fibroid sits inside the uterine cavity (submucosal), the surgeon reaches it through the natural pathway of the cervix using a camera. No incisions on your abdomen. Daycare procedure with rapid return to routine life.
Myomectomy vs UAE vs RFA/MWA
Laparoscopic Myomectomy
Fibroids are surgically excised through tiny keyhole ports, and the uterine wall is sutured. Best when you need the fibroid physically removed while keeping fertility intact.
₹50k – ₹2.5LUAE / UFE (Embolization)
Catheter delivers microscopic particles to block fibroid blood supply. Fibroid shrinks over months without surgical incisions. Best for completed families.
₹2.5L – ₹3.5LRFA / Microwave Ablation
Thermal energy ablates localized fibroid tissue from the inside. Highly dependent on well-defined target location.
₹1.5L – ₹2.5L| Criteria | Myomectomy | UAE / UFE | RFA / MWA |
|---|---|---|---|
| Uterus Preserved | Yes | Yes | Yes |
| Fibroid Removed | Yes (Physically) | No (Shrunk) | No (Ablated) |
| Future Pregnancy | Preferred Gold Standard | Requires discussion | Needs case review |
Laparoscopic vs Robotic Myomectomy
Laparoscopic Myomectomy
- • Excellent for straightforward fibroids & accessible anatomy
- • Minimally invasive with fast recovery
- • No robotic console surcharge (₹50k – ₹2.5L)
Robotic Myomectomy (Da Vinci)
- • Indispensable for large (>8 cm), multiple (>10), or broad-ligament fibroids
- • 3D high-magnification vision & articulated wristed instruments
- • Precise multi-layer uterine wall reconstruction (₹3L – ₹6L)
Before Hysterectomy, Ask This:
Does the entire uterus actually need to be removed?
Remove Fibroids · Keep Uterus
Ideal when preserving fertility or keeping your natural uterus is desired. Fibroids can potentially recur over years.
Definitive Removal of Uterus
Permanent solution. Zero risk of recurrence. Appropriate when childbearing is complete and disease is extensive/recurrent.
10 Questions to Answer Before You Agree to Surgery
Start Free. Pay Only When You Need a Deeper Answer.
Personal Doctor Consultation
Start here if you want to understand what your ultrasound or MRI report means.
Case Check
For one focused question on quotation, insurance, or procedure necessity.
Specialist Fibroid Care Plan
A comprehensive personalised written plan comparing all viable surgical & non-surgical paths.
Multi-Specialist Board Opinion
For complex surgery decisions, hysterectomy second opinions, or when UAE vs surgery is debated.
Preview Your ₹1,999 Specialist Fibroid Care Plan
Scan shows a 4.8 cm intramural fibroid. The most crucial question before scheduling surgery is whether it indents the inner cavity lining and interferes with conception.
Do not book myomectomy purely based on the 4.8 cm measurement. First confirm cavity distortion and whether the fibroid explains your heavy bleeding.
1. Observation/symptom control if cavity is unaffected · 2. Laparoscopic Myomectomy (₹50k–₹2.5L) · 3. UAE/ablation deferred until pregnancy plans are finalized.
20+ Gynaecology & Pelvic Specialists Across 18 Centers
Minimally Invasive Gynaecologist
16+ Years Exp · 3D Lap & HysteroscopySpecialized in hysteroscopic fibroid resection, laparoscopic myomectomy & fertility preservation.
Robotic Gyn Surgeon
18+ Years Exp · Da Vinci CertifiedSpecialized in complex multiple fibroids, broad-ligament pathology & retroperitoneal dissection.
Mumbai & Pune Centers
18 Accredited Network HospitalsEquipped with 3D laparoscopy, Da Vinci robotic systems, Cath labs for UAE & full cashless insurance support.
7 Questions to Ask Before Agreeing to Fibroid Surgery
Frequently Asked Questions
Before You Choose a Fibroid Treatment, See the Whole Picture.
Maybe the answer is observation. Maybe medication. Maybe hysteroscopic removal with zero cuts. Maybe myomectomy. And sometimes, definitive surgery really is the right answer. The important part is knowing why.
