Heavy bleeding with dizziness, or severe pelvic pain with a positive pregnancy test, needs emergency care now. Ectopic pregnancy is life-threatening. Also seek urgent care for fever with pelvic pain and discharge.
Fibroids, heavy bleeding, prolapse and endometriosis surgery, with laparoscopic and uterus-preserving options, at accredited hospitals across Delhi NCR.
Hysterectomy is one of the most over-performed operations in the world. For fibroids and heavy bleeding there are usually several less drastic options, and many women are never told about them.
Free. No obligation. A written opinion within 48 hours.
Removing the uterus is definitive, and for some women it is the right answer. But it is offered far more often than it is necessary.
Fibroids found on a scan in a woman with no symptoms usually require no treatment at all. They commonly shrink after menopause.
A hormonal coil controls heavy bleeding effectively in many women and is reversible. Tranexamic acid reduces flow. These should be tried before surgery.
Myomectomy removes fibroids and leaves the uterus, which matters if you may want children. Hysteroscopic resection removes fibroids inside the cavity through the cervix, with no incision.
Destroys the lining to control bleeding, as a day case, where the cavity is normal and childbearing is complete.
If hysterectomy has been recommended, ask which of these was considered and why it was ruled out. A clear answer is reassuring; a vague one is a reason for a second opinion.
What we are asked about most in gynaecology.
Heavy bleeding, pressure symptoms, and uterus-preserving options
Medical and surgical treatment short of hysterectomy
Repair with and without mesh, and pessary alternatives
Covered in detail on our endometriosis page
Assessment of which need removing and which do not
Always requires investigation to exclude cancer
Covered on our gynaecological cancer page
Covered on our recurrent miscarriage page
Detailed pages for these are being written. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Most gynaecological surgery is now laparoscopic or hysteroscopic, with short stays and quick recovery.
A telescope passed through the cervix allows fibroids inside the cavity, polyps and adhesions to be removed with no incision at all. It treats heavy bleeding at its source in many women and is a day case. It also allows the cavity to be assessed accurately before any larger operation is contemplated.
Fibroids are removed and the uterus repaired and preserved. It is the right operation for a woman who may want children, and a reasonable choice for anyone who wishes to keep her uterus. It carries more bleeding risk than hysterectomy and fibroids can recur, both of which should be discussed frankly.
Removal of the uterus through small incisions, with a considerably quicker recovery than open surgery. Where hysterectomy is genuinely indicated — large symptomatic fibroids, failed medical treatment, some prolapse and cancer — the laparoscopic route is preferable to open surgery in most patients.
Repair of a dropped uterus, bladder or bowel wall, through the vagina or abdomen. A pessary is a genuine non-surgical alternative that suits many women, particularly those who do not want surgery. Mesh use in prolapse repair is restricted in several countries and should be discussed explicitly rather than assumed.
The lining of the uterus is destroyed to control heavy bleeding, as a day case without incisions. It suits women who have completed their family and whose uterine cavity is a normal shape. It is not contraception, and pregnancy afterwards is dangerous, so reliable contraception is essential.
Keyhole hysterectomy and myomectomy are skills that improve with volume. Ask how many the surgeon performs laparoscopically each year rather than in total.
A surgeon who discusses the coil, ablation and myomectomy before proposing hysterectomy is one who is advising rather than selling.
Where prolapse repair is being considered, the surgeon should state plainly whether mesh is proposed, why, and what the alternatives are.
Ask what the plan would be if you wanted to keep your uterus. Even if you do not, the answer tells you whether you are being offered options or a default.
Gynaecological surgery carries risks of bleeding, infection, and injury to the bladder, ureter or bowel — uncommon but serious when it occurs. Myomectomy can bleed significantly and occasionally requires hysterectomy during the same operation, which must be consented for beforehand. Hysterectomy is irreversible and ends fertility. Prolapse repair can fail and recur. Ask your surgeon for their own conversion and complication rates.
This needs assessment and possibly transfusion today, locally.
Possible ectopic pregnancy — a life-threatening emergency.
These generally need no treatment and often shrink after menopause. We will say so.
A hormonal coil or tranexamic acid should be tried properly before surgery is arranged.
This needs a scan and endometrial sampling locally and promptly, to exclude cancer, before any travel is planned.
Gynaecology is a specialty with a great deal of avoidable surgery. Send the scan and your symptoms and we will tell you honestly whether an operation is warranted.
A woman travelling for laparoscopic myomectomy.
Only if they cause symptoms — heavy bleeding, pain, pressure on the bladder or bowel, or difficulty conceiving. Fibroids found incidentally in a woman with no symptoms generally need nothing, and they commonly shrink after menopause. Size alone is not a reason to operate.
Frequently, yes. A hormonal coil controls heavy bleeding in many women. Fibroids inside the cavity can be removed hysteroscopically with no incision. Myomectomy removes fibroids and preserves the uterus. Endometrial ablation controls bleeding as a day case. Ask which of these was considered before hysterectomy was proposed.
It is performed precisely to preserve fertility, and removing fibroids that distort the cavity can improve the chance of conceiving. Depending on how deeply the uterine wall was entered, you may be advised to deliver by caesarean section in future. Fibroids can also recur, so timing matters if you are planning pregnancy.
A pessary is a genuine non-surgical alternative that many women use successfully for years. Pelvic floor physiotherapy helps mild cases. Surgical repair can be done through the vagina or abdomen. If mesh is being proposed, ask specifically why, since its use is restricted in several countries.
It always needs investigating, promptly, because it can be the first sign of endometrial cancer — and that cancer is highly curable when caught early. You need a pelvic ultrasound and sampling of the lining. Arrange that where you are rather than waiting to travel.
It depends on its appearance, size and your age. Many cysts in premenopausal women are functional and resolve within a few cycles, and repeat scanning is the correct management. Cysts with concerning features on ultrasound, or in postmenopausal women, need proper assessment including tumour markers.
Related pages: Endometriosis · Gynaecological cancer · Fertility and IVF · Recurrent miscarriage · All treatments
Send your pelvic ultrasound or MRI with the size, number and position of any fibroids, plus your haemoglobin and a description of the bleeding.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
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