Reviewed by: Dr. Priyadatt Patel, Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead. Last updated: 26 May 2026.
Laparoscopy · Myomectomy
Laparoscopic Myomectomy
Surgical removal of uterine fibroids while preserving the uterus – the fertility-sparing option for women with symptomatic fibroids.
Indications
When myomectomy is appropriate
Symptomatic fibroids (heavy menstrual bleeding, pelvic pain, pressure symptoms) where uterine preservation is desired – particularly relevant for women planning future fertility.
Technique
Laparoscopic approach
Uterine wall incision, careful myoma enucleation, and meticulous closure of the uterine defect in multiple layers. Energy source selection minimises thermal damage. Specimen retrieval through extended port site or specimen bag.
Outcomes
Recovery and fertility
Heavy menstrual bleeding improves in over 90 percent. Pregnancy rates are favourable in women with prior infertility. Recurrence of new fibroids occurs in 15-30 percent over 5-10 years.
Common questions
Frequently asked
Can I deliver vaginally after laparoscopic myomectomy?
Possible in selected cases with small myomas not entering the cavity. Most cases warrant elective caesarean for uterine scar integrity. Individualised decision based on size, depth, and location.
Will my fertility improve?
For women with submucosal fibroids causing infertility, myomectomy significantly improves pregnancy rates. For other fibroid types, fertility impact varies.
How long should I wait to conceive?
Generally 6-12 months for uterine wall healing, depending on myoma size and depth. Specific guidance is individualised based on surgical findings.
★★★★★5.0 · 282 Verified Google Reviews
Dr. Priyadatt Patel
Senior Gynecologist · Advanced Laparoscopic Surgeon · IVF and Endometriosis Programme Lead
MS OBGyn · Pregnancy Care · Advanced Gynaecological Ultrasound · Fertility Preservation
ESHRE / ESGE / AAGL / ASRM guideline-aligned practice. 3D Karl Storz precision technique. Fertility-preservation-first philosophy. Evidence-based decisions, honest counselling, long-term outcomes orientation.
Endometriosis
Superficial to deep infiltrating, fertility-preserving excision
IVF & Fertility
Individualised protocols, ART Level 2 lab, transparent outcomes
Advanced Laparoscopy
3D Karl Storz precision, nerve-sparing technique
Pregnancy Care
Antenatal care, high-risk pregnancy, advanced ultrasound
Balaji Horizon Women Hospital
Science City Road, Ahmedabad 380060
Mon–Sat 11:00–20:00 · +91 97234 31544
Balaji Women Clinic (AEC)
Naranpura, Ahmedabad
Mon–Sat 08:30–10:30 · +91 70460 02566
