Uterine fibroids can cause a spectrum of symptoms — from heavy menstrual bleeding and pelvic pressure to fertility challenges. For women in Mumbai looking for a less invasive, uterus-preserving option, hysteroscopic myomectomy in Mumbai offers hope. Under the experienced care of Dr. Maitreyee Parulekar, this procedure becomes a precise, safe, and relatively low-discomfort solution for submucosal fibroids.

What Is Hysteroscopic Myomectomy?

Hysteroscopic myomectomy is a minimally invasive surgical technique used to remove fibroids located inside the uterine cavity (submucosal fibroids). A thin camera (hysteroscope) is introduced via the vagina and cervix — eliminating the need for abdominal incisions. Through this visual guidance, the surgeon uses small instruments to excise or resect the fibroid tissue, restoring normal uterine architecture.

Because the procedure avoids cutting through the abdominal wall, it carries less postoperative pain, minimal scarring, and shorter recovery periods. It is especially beneficial for women who wish to preserve fertility or avoid a full hysterectomy.

Indications: Who Should Consider It?

Women may consider hysteroscopic myomectomy in Mumbai in the following scenarios:

• Heavy or prolonged menstrual bleeding that disrupts daily life
• Fibroids causing infertility, recurrent pregnancy loss or miscarriage
• Pelvic pain, pressure, or discomfort attributable to fibroids
• Preference for a uterus-preserving therapy instead of hysterectomy

Dr. Maitreyee Parulekar evaluates each patient individually — using imaging (ultrasound, MRI) and clinical history — to determine if hysteroscopic myomectomy is appropriate.

How the Procedure Works (Step-by-Step)

1. Preoperative evaluation: Imaging of the uterus, hormonal and blood work, and counseling regarding risks, benefits, and alternatives.
2. Anesthesia and dilation: Under suitable anesthesia, the cervix is gently dilated.
3. Insertion of hysteroscope: A thin camera is passed through the vagina and cervix into the uterine cavity.
4. Fibroid removal: Using specialized instruments under direct vision, submucosal fibroids are resected or shaved off.
5. Distension medium: A liquid medium is used to expand the uterine cavity so the surgeon can see clearly (careful monitoring is essential to avoid fluid overload).
6. Completion and recovery: The scope is withdrawn; minimal bleeding and cramping are expected. Recovery begins almost immediately.