Uterine Fibroids Treatment in Hyderabad
Written & medically reviewed by Dr. Shaivalini Kamarapu
MBBS · MS (Obstetrics & Gynaecology) · Fellowship in Reproductive Medicine · 20+ years of clinical experience
20+
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Branches in Hyderabad
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Care at both branches
What are uterine fibroids?
Fibroids are common, non-cancerous growths that develop from the muscle layer of the uterus — also known as leiomyomas or myomas. They aren't linked to uterine cancer and almost never turn cancerous. A woman may have a single fibroid or several, ranging from very small to quite large.
Fibroids can grow inside the uterine cavity, within the uterine wall, or on the outer surface. Many women have fibroids without any symptoms at all and simply need periodic monitoring — treatment is generally recommended only when fibroids start causing symptoms or affecting health or fertility.
Types of fibroids
Subserosal fibroids
Develop on the outer surface of the uterus and tend to grow outward, sometimes pressing on the bladder or bowel and causing pelvic pressure, frequent urination, or lower back pain — usually without affecting menstrual flow.
Intramural fibroids
The most common type, growing within the muscular wall of the uterus. As they enlarge, they can cause heavy or prolonged bleeding, pelvic pain, and abdominal discomfort, and may affect fertility depending on size and location.
Submucosal fibroids
Grow just beneath the uterine lining, inside the cavity. Less common but often more symptomatic — even small ones can cause heavy bleeding, irregular periods, anaemia, and fertility problems, and usually need treatment.
Symptoms of uterine fibroids
Many fibroids cause no symptoms and are found incidentally during a routine ultrasound or exam
Heavy and prolonged menstrual bleeding is the most common symptom
Significant blood loss can lead to anaemia, fatigue, and shortness of breath
Large fibroids can cause constant pelvic pressure or heaviness
Pressure on the bladder may cause frequent urination
Pressure on the bowel can cause constipation or lower back pain
What causes uterine fibroids?
Hormonal influence
Oestrogen and progesterone support fibroid growth, particularly during the reproductive years.
Family history
Having a close relative with uterine fibroids raises the likelihood of developing them.
Cell growth stimulators
Certain natural growth substances in the body can encourage fibroid cells to multiply.
Uterine tissue changes
Increased extracellular matrix production can make fibroids firmer and allow further growth.
Weight and metabolism
Higher body fat can increase oestrogen production, raising fibroid risk.
Early menstrual onset
Starting menstruation at a younger age has been linked to a greater chance of developing fibroids.
Who is at higher risk?
Age
Fibroids are most commonly seen in women in their 30s and 40s, with prevalence rising until menopause.
Genetic background
A family history of fibroids — especially in a mother — significantly raises individual risk.
Ethnic factors
Fibroids are observed more frequently in Black women, while Asian women tend to have a comparatively lower incidence.
Body weight
Being overweight or obese raises oestrogen levels in the body, which may increase fibroid risk.
How fibroids can affect fertility
About 5–10% of infertile women are affected by fibroids
Fibroids can alter the uterus's normal shape, making pregnancy harder to achieve
Submucosal fibroids directly affect the uterine lining and embryo implantation
Large fibroids may reduce blood flow to the uterus, affecting embryo development
Fibroids near the fallopian tubes may block sperm or egg movement
Fibroids can disturb normal uterine contractions and disrupt ovulation
Fertility impact depends heavily on fibroid size and location, so not all fibroids need removal
Pregnancy with fibroids
Increased complication risk
Pregnant women with fibroids may face a higher chance of pain, bleeding, or uterine changes, depending on fibroid size and location.
Removal before pregnancy
Fibroids are usually left alone before pregnancy unless they're very large or have caused complications previously.
Miscarriage risk
Fibroids alone rarely cause miscarriage — many women with fibroids go on to have healthy pregnancies.
Preterm birth risk
Fibroids may raise the likelihood of preterm labour, which calls for closer antenatal monitoring.
Mode of delivery
Women with fibroids have a higher chance of needing a C-section due to fetal position changes or uterine obstruction.
Regular monitoring
Close antenatal follow-up and personalised care help manage risks and support a safe outcome for mother and baby.
Diagnosis of uterine fibroids
Ultrasound examination
The first-line test for diagnosing fibroids. A transabdominal scan gives a general view, while a transvaginal scan offers more detail, especially for smaller fibroids — safe, painless, and usually sufficient on its own.
MRI (when needed)
Used when ultrasound findings are unclear or further evaluation is needed. MRI gives high-resolution images, helps distinguish fibroids from adenomyosis, and maps fibroid location precisely to guide treatment planning.
Why accurate diagnosis matters
Proper diagnosis avoids unnecessary surgery, supports fertility-preserving treatment where pregnancy is a concern, and allows for a personalised, effective management plan.
Treatment options
Medical management
Hormonal therapies, hormone-releasing IUDs, or birth control pills can control symptoms or shrink fibroids in selected patients — not suitable for everyone, and chosen based on age, fibroid size, and symptom severity.
Myomectomy
Removes only the fibroids while preserving the uterus — the preferred option for women who want to maintain fertility. Can be done hysteroscopically (through the vagina) or laparoscopically (small abdominal incisions) for faster recovery.
Hysterectomy
Complete removal of the uterus, offering a permanent solution — usually considered for women who've completed their family, after all alternatives have been evaluated.
Uterine artery embolization
A non-surgical procedure that injects tiny particles into the uterine arteries under X-ray guidance, cutting blood supply so fibroids shrink over time. May affect fertility, so careful counselling is needed first.
MRI-guided focused ultrasound
A non-invasive technique that uses focused ultrasound energy, guided by MRI, to heat and treat fibroid tissue while sparing surrounding organs. Suitable only for select fibroid types and may need multiple sessions.
Why uterine fibroids develop
Uterine fibroids develop due to a combination of hormonal, genetic, and lifestyle factors. Although the exact cause is not always clear, several influences are known to increase the likelihood of fibroid formation in the uterus.
The exact cause of uterine fibroids is not fully known. However, fibroids are strongly influenced by female hormones, particularly oestrogen. They tend to grow during the reproductive years when hormone levels are high and often shrink or stop growing after menopause when oestrogen levels decline.
How fibroids are diagnosed at AMVI Hospital
Accurate diagnosis of uterine fibroids is essential for choosing the right treatment approach. At AMVI Hospital, advanced imaging techniques are used to confirm the presence, size, number, and location of fibroids, while also ruling out other uterine conditions.
Ultrasound examination
Ultrasound is the first-line and most commonly used test for diagnosing uterine fibroids.
- A transabdominal ultrasound provides a general view of the uterus and surrounding pelvic organs.
- A transvaginal ultrasound offers a clearer and more detailed image of the uterine structure, especially for smaller fibroids.
- Ultrasound helps identify the size, location, and number of fibroids.
- It is a safe, painless, and widely available diagnostic tool.
- In most cases, an ultrasound is sufficient to confirm the diagnosis of uterine fibroids.
Magnetic resonance imaging (MRI)
MRI is used when further evaluation is required or when ultrasound findings are unclear.
- MRI provides high-resolution, detailed images of the uterus.
- It is especially helpful in differentiating fibroids from adenomyosis, another benign uterine condition that may appear similar on ultrasound.
- MRI accurately maps the exact location and type of fibroids, aiding treatment planning.
- It is useful for women with multiple fibroids or large uterine masses.
- MRI assists doctors in selecting the most appropriate medical or surgical treatment option.
Why accurate diagnosis matters
Proper diagnosis helps avoid unnecessary surgery.
- It ensures fertility-preserving treatment when pregnancy is a concern.
- Accurate imaging allows for personalized and effective management.
At AMVI Hospital, our specialists use advanced diagnostic tools and clinical expertise to ensure precise diagnosis and optimal treatment outcomes for women with uterine fibroids.
Treatment options for uterine fibroids
Treatment for uterine fibroids depends on several factors such as the patient's age, symptoms, fibroid size and location, overall health, and future fertility plans. At AMVI Hospital, we offer individualized treatment plans focused on safety, effectiveness, and fertility preservation whenever possible.
Medical management (medication)
Medical treatment may help control fibroid-related symptoms and reduce fibroid size in selected patients.
- Hormonal therapies such as GnRH agonists may temporarily shrink fibroids.
- Hormone-releasing intrauterine devices (IUDs) can help reduce heavy menstrual bleeding.
- Birth control pills may help regulate menstrual cycles and control symptoms.
- Medical treatment is not suitable for every patient.
- The choice of medication depends on age, fibroid size, ovarian function, and symptom severity.
At AMVI Hospital, specialists carefully evaluate each patient to determine whether medical management is appropriate.
Surgical treatment
Surgery is often the most effective option for fibroids, especially when symptoms are severe or fertility needs to be preserved.
Myomectomy (fibroid removal)
Myomectomy involves removing only the fibroids while preserving the uterus.
- It is the preferred option for women who wish to maintain fertility.
- The uterus may or may not require suturing depending on fibroid depth.
- Hysteroscopic myomectomy is used for fibroids inside the uterine cavity and is performed through the vagina without external cuts.
- Laparoscopic myomectomy is performed through small abdominal incisions (5–10 mm) using a camera and specialized instruments.
This minimally invasive approach allows faster recovery and less pain.
Hysterectomy (removal of the uterus)
Hysterectomy involves complete removal of the uterus and provides a permanent solution for fibroids.
- It can be performed using laparoscopic, abdominal, or vaginal methods.
- This option is usually considered for women who have completed their family.
- Hysterectomy may affect ovarian function in some cases.
- When possible, it is generally advisable to delay hysterectomy until after 40 years of age.
AMVI Hospital evaluates all alternative treatments before recommending this option.
Personalised fibroid care at AMVI Hospital
At AMVI Hospital, our experts provide:
- Comprehensive evaluation
- Fertility-focused treatment planning
- Advanced surgical and non-surgical options
- High standards of safety and patient care
We guide every patient towards the most effective and appropriate fibroid treatment for her individual needs.
Your specialist: Dr. Shaivalini Kamarapu
- Dr. Shaivalini Kamarapu is an experienced uterine fibroids and infertility specialist at AMVI Hospital, Hyderabad, with over 20 years of expertise in women's reproductive health and advanced gynaecological care.
- She specialises in the diagnosis and comprehensive management of uterine fibroids, offering personalised, evidence-based treatment for women experiencing heavy menstrual bleeding, pelvic pain, pressure symptoms, recurrent pregnancy loss, and fibroid-related infertility.
- Her clinical expertise includes early detection of fibroids, advanced pelvic ultrasound evaluation, precise mapping of fibroid size and location, and detailed fertility assessment to understand the impact of fibroids on reproductive outcomes.
- Dr. Kamarapu performs minimally invasive fibroid surgeries, including laparoscopic and hysteroscopic myomectomy, focusing on uterus- and fertility-preserving techniques whenever possible.
- She has extensive experience managing complex and recurrent fibroid cases, including large fibroids, multiple fibroids, fibroids affecting fertility or pregnancy outcomes, and patients with previous surgical or IVF failures.
- Known for her ethical and patient-centred approach, she provides transparent counselling, realistic expectations, and customised treatment plans that may include medical therapy, minimally invasive surgery, or assisted reproductive techniques such as IVF when indicated.
- In addition to her role at AMVI Hospital, Dr. Shaivalini Kamarapu also serves as a Consultant at Rainbow Hospitals, Apollo Hospitals, and Ankura Hospitals, making her a trusted and sought-after specialist for uterine fibroid treatment in Hyderabad.
FAQs related to uterine fibroids
In some cases, particularly after menopause when hormone levels drop. Most fibroids, though, need regular monitoring rather than relying on natural shrinkage.
If fibroids are small and not causing symptoms, follow-up ultrasounds are usually recommended every 6 to 12 months to track any changes.
Yes, particularly in younger women — regular follow-up helps catch any recurrence early.
Yes — medications, hormonal therapy, and uterine artery embolization can all help manage symptoms in selected patients without surgery.
Fibroids that distort the uterine cavity can reduce fertility and IVF success rates, so proper evaluation and treatment beforehand can improve outcomes.
Balanced nutrition, regular exercise, and stress management can help manage symptoms, though they won't eliminate existing fibroids.
Yes — medical management along with hysteroscopic and laparoscopic myomectomy are fertility-preserving options for eligible patients.
You can schedule a consultation at either the Attapur or Puppalaguda branch by contacting the hospital directly, and it helps to bring any previous fertility records.
In some cases, fibroids may shrink on their own, especially after hormonal changes such as menopause. However, most fibroids need regular medical monitoring.
Yes, fibroids can cause pelvic pressure, bloating, or abdominal fullness, particularly when they grow larger in size.
Fibroids can recur after treatment, especially in younger women. Regular follow-up helps in early detection and timely management.
Fibroid care at AMVI Hospitals is led by experienced specialists, with minimally invasive (laparoscopic and hysteroscopic) procedures, treatment planned around your symptoms and pregnancy plans, and a strong focus on safety and fertility.