Garbhasaya gathalu valla heavy bleeding, pelvic pain, leda garbham raakupodutundaa? Dr. E. Prashanthi Reddy tho complete fibroid chikitsa — hysteroscopy to laparoscopy varaku.
19+ Years Experience · Laparoscopic Myomectomy · IVF Specialist · Boduppal
Uterine fibroids (garbhasaya gathalu) are non-cancerous muscle growths. Most fibroids cause no problems — only those inside the uterine cavity (submucosal) consistently affect fertility and cause heavy bleeding. At Mother Hospitals, Dr. Prashanthi assesses every fibroid with 3D ultrasound and hysteroscopy before recommending surgery. Not every fibroid needs removal. Call 97059 93366 to find out if your fibroids need treatment.
The same fibroid in a different location has a completely different effect on fertility and symptoms
Grows into the uterine cavity — directly where the embryo implants. Even a small submucosal fibroid (1–2 cm) can halve IVF success rates and double miscarriage rates by distorting the implantation site and disrupting blood flow to the endometrium.
⚠️ Must be removed before conception or IVF
Grows within the uterine muscle wall — the most common type. Small intramurals (<4 cm) that don't distort the cavity may not need removal before IVF. Larger ones (>4–5 cm) or those pressing on the cavity reduce implantation and need assessment.
⚡ Assess size and cavity distortion before deciding
Grows outward from the outer uterine surface. Generally does not affect the uterine cavity or fertility unless extremely large. Causes pressure symptoms — urinary frequency, constipation, or pelvic heaviness — but fertility impact is minimal.
✓ Usually no surgery needed before IVF
A fibroid attached to the uterus by a narrow stalk — can be submucosal-pedunculated (inside cavity on a stalk) or subserosal-pedunculated (outside on a stalk). Risk of torsion (twisting) causing sudden severe pain. Submucosal pedunculated fibroids are easiest to remove hysteroscopically.
📌 Stalk type determines approach and urgency
50% of women with fibroids have no symptoms — but when symptoms occur, they can be severe
Significantly heavier flow, often with clots. Periods lasting 7+ days. Soaking through pads rapidly. Caused by fibroids increasing uterine surface area and disrupting normal vessel control.
Tenglish: Heavy bleeding — blood clots tho periods, anaemia vastundi
Heaviness or dragging sensation in the lower abdomen. Backache. Sharp pain if a fibroid undergoes degeneration (outgrows its blood supply) or torsion. Dull pelvic pressure throughout the cycle.
Tenglish: Potta kinda bhaaramga anipinchadu, noppi, back pain
Large anterior (front) fibroids press on the bladder, causing frequent urination, urgency, and difficulty fully emptying. Rare urinary retention in very large fibroids. Posterior fibroids press on the rectum causing constipation.
Tenglish: Mootra vishrajana frequent avvadam, bladder pressure
Submucosal fibroids impair embryo implantation. Large intramural fibroids compress the fallopian tube openings. Any fibroid distorting the cavity significantly reduces IVF success rates and natural conception.
Tenglish: Garbham raakupodadam — fibroid karanam
Submucosal fibroids interfere with the blood supply to a developing embryo, leading to early pregnancy loss. Removal of submucosal fibroids reduces miscarriage rates significantly — often to normal population rates.
Tenglish: Bar bar miscarriage — garbhasaya gathalu karanam
Chronic heavy bleeding depletes iron stores, causing iron-deficiency anaemia. Symptoms: fatigue, breathlessness on exertion, pallor, dizziness. Iron supplementation manages symptoms; definitive treatment addresses the fibroid.
Tenglish: Anaemia, shakti lekunda ayipovadam — heavy bleeding valla
| Fibroid Type | Location | Fertility Impact | Surgery Before IVF? | Treatment |
|---|---|---|---|---|
| Submucosal | Inside cavity | High — halves IVF success | Yes — always | Hysteroscopic myomectomy |
| Intramural >4 cm | Wall, distorting cavity | Moderate — reduces implantation | Usually recommended | Laparoscopic myomectomy |
| Intramural <4 cm | Wall, no distortion | Low to moderate | Assess individually | Monitor or laparoscopic |
| Subserosal | Outside uterus | Minimal | Usually not needed | Monitor; surgery for symptoms |
| Pedunculated | On stalk (in or out) | Depends on location | If submucosal type | Hysteroscopic or laparoscopic |
Treatment is matched to fibroid location, size, your symptoms, and fertility goals
Mother Hospitals, Boduppal, Hyderabad
Dr. E. Prashanthi Reddy, Mother Hospitals Hyderabad
It depends entirely on location. Submucosal fibroids (inside the cavity) consistently reduce fertility — even a 1–2 cm fibroid can halve IVF success rates. Intramural fibroids affect fertility if large (>4–5 cm) or pressing on the cavity. Subserosal fibroids (outside) generally do not affect fertility. Dr. Prashanthi evaluates every fibroid individually with 3D ultrasound and hysteroscopy — not every fibroid needs removal before attempting conception.
Avunu — chala cases lo fibroids unappatiki pregnancy possible. Kaani submucosal fibroid (uterus lopala) unte, adi IVF success chala taggistundi mariyu miscarriage risk perigipotundi. Adi teeseyyadam avasaram. Intramural mariyu subserosal fibroids chhina ga unte, IVF direct cheyavachu. Dr. Prashanthi 3D ultrasound tho assess chesi, mee case ki correct plan istaru.
For submucosal fibroids: yes — dramatically. Removal increases IVF implantation rates from ~15% to 40–50%. For intramural fibroids >4 cm distorting the cavity: removal is recommended before IVF. For smaller intramurals not distorting the cavity: evidence is mixed and direct IVF is often reasonable. For subserosal fibroids: surgery before IVF is usually unnecessary. The decision is always personalised.
Hysteroscopic myomectomy is a keyhole procedure — the hysteroscope is passed through the cervix, so no abdominal cuts. It is done under general anaesthesia, so there is no pain during the procedure. Mild to moderate cramping may occur for 1–2 days afterwards, managed with standard painkillers. Most women feel back to normal within 1–2 weeks. It is a day procedure — you go home the same day.
Yes — fibroids have a 20–30% recurrence rate within 5 years. Risk is higher with multiple fibroids and in younger women with more hormone exposure ahead. The recommended strategy for women wanting to conceive: remove fibroids → attempt conception as soon as safely possible (2–3 months after hysteroscopy, 3–6 months after laparoscopy) → complete family → consider long-term management to delay recurrence.
No — fibroids are almost always benign. The risk of malignant transformation (leiomyosarcoma) is very low — approximately 0.1–0.3%. Warning signs requiring prompt assessment: rapidly growing fibroid, new fibroid growth after menopause, or fibroid with unusual MRI features. For the vast majority of women of reproductive age, fibroids are benign and managed based on symptoms and fertility impact, not cancer concern.
It depends on the type and extent of myomectomy. After hysteroscopic myomectomy: normal vaginal delivery is generally safe. After laparoscopic myomectomy with superficial fibroids: vaginal delivery may be possible but caesarean is often planned as a precaution. After open myomectomy (laparotomy) or deep intramural myomectomy: planned caesarean section (LSCS) is recommended to prevent uterine rupture during labour. Dr. Prashanthi discusses the delivery plan at the time of surgery.
No — not necessarily. Multiple small intramural or subserosal fibroids that do not distort the uterine cavity do not need to be removed before IVF. A hysteroscopy confirms the cavity is clear. Only submucosal fibroids and those pressing on the cavity need removal. Treating incidental fibroids unnecessarily can reduce ovarian reserve (from repeated surgeries) and delay conception. The principle at Mother Hospitals: remove only what is affecting the cavity or causing significant symptoms.
At Mother Hospitals: Hysteroscopic myomectomy (submucosal, day procedure): ₹40,000–70,000. Laparoscopic myomectomy (intramural/subserosal, 1–2 day stay): ₹70,000–1,10,000. Open myomectomy (complex/large): assessed individually. IVF after fibroid removal: ₹99,000 all-inclusive. WhatsApp your ultrasound report to 90520 74999 for a personalised cost estimate before your consultation.
Yes — if your fibroids are intramural or subserosal, small (<4 cm), and do not distort the uterine cavity. A hysteroscopy at Mother Hospitals will confirm whether the cavity is clear. If clear, you can proceed with natural conception attempts, IUI, or IVF without surgery. If you have failed IVF cycles with unexplained poor implantation, reassessing fibroids (including with hysteroscopy) is always worthwhile even if previous ultrasounds appeared normal.
Mother Hospitals, Boduppal — Dr. E. Prashanthi Reddy — 19+ samvatsarala laparoscopic surgery anubhavam
Garbhasaya (uterus) muscle wall lo non-cancerous growths ni fibroids antaru. Ivi chala common — 50 years age ki 70–80% women ki untayi. Chikku size nundi orange size varaku perugutayi. Location ni batti — submucosal (inside), intramural (wall lo), subserosal (baita) — veru veru symptoms vostai.
Hysteroscopic myomectomy lo camera cervix gunda uterus lo pettadam — potta meeda cut ledu. Same day home. 1–2 weeks rest. 2–3 months tarvata conception try cheyavachu. Submucosal fibroids ki idi best surgery — IVF success rate chala pedutundi.
Garbhasaya gathalu untaya? Ultrasound report WhatsApp cheyandi — Dr. Prashanthi mee case assess chestaru.
📞 97059 93366 ki call cheyandi 💬 WhatsApp lo matladandiComplete gynaecology and fertility care under one roof