Fibroids
Dr. Ria Katwala Solanki is a gynaecologist and gynaecological oncosurgeon consulting in Andheri East and Vile Parle West, Mumbai, who diagnoses and treats fibroids — non-cancerous growths that develop in or around the uterus. They're very common in women of reproductive age and often vary in size from tiny to large enough to cause noticeable symptoms.
Common Symptoms :
Heavy or prolonged periods
Pelvic pain or pressure
Bloating or a feeling of fullness​
Difficulty getting pregnant (in some cases)
Frequent urination
Treatment Options :
Treatment depends on the size, number, and location of fibroids as well as your age and future pregnancy plans.
Conservative
Medications to manage symptoms — they don't make fibroids disappear.
Radical
Minimally invasive myomectomy (removes the fibroids) done via robotic or laparoscopic surgery.
Hysterectomy
Removal of the uterus — considered in select cases, such as very large fibroids or when fertility preservation isn't a concern.
Myomectomy :
Features
Laproscopic
Robotic
Open (Abdominal)
Invasiveness
Minimally invasive
Minimally invasive
Open surgery
Incisions
3–4 small cuts
4–5 small cuts
Single large cut
Precision
Very High Precision
Very High Precision
Moderate Precision
Pain & Scarring
Minimal pain & scar
Minimal pain & scar
More pain & Scar
Hospital Stay
2–3 days stay
2–3 days stay
3–5 days stay
Recovery Time
1–2 weeks recover
1–2 weeks recover
4–6 weeks recover
Fertility preservation
Yes
Yes
Yes
Myomectomy & Fertility :
For women facing infertility due to fibroids, myomectomy can significantly improve pregnancy outcomes.
After the removal of the fibroid, you can get pregnant in 3-6 months.
Your gynaecologist will guide you based on your individual condition.
Frequently Asked Questions
Q: Do fibroids always need to be removed?
No. Small, symptom-free fibroids can often just be monitored; treatment is considered when they cause pain, heavy bleeding, or fertility issues.
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Q: Will fibroids affect my chances of getting pregnant?
They can, especially if they distort the uterine cavity, but myomectomy often improves the chances of conceiving.
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Q: Is surgery always necessary?
No. Medication can help manage symptoms first; surgery is considered when fibroids are large or symptoms persist.
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Q: Is robotic surgery an option for fibroids?
Yes. Robotic myomectomy offers the same minimally invasive benefits as laparoscopy with added precision, and is especially helpful for larger or deep-seated fibroids.
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Q: How are fibroids diagnosed?
An ultrasound is usually enough to diagnose fibroids; an MRI may be used for larger or more complex cases.
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Q: Can fibroids come back after treatment?
Yes, new fibroids can develop over time, which is why regular follow-up with your gynaecologist is important.
