Dr.Mrs.Dhruba Ray


Consultant Gynaecologist and Obstetrician

Pregnancy Doctor in Kolkata, India

+91 91238 89310+91 91431 80185+91 98367 77450


What is the Treatments of Uterine Fibroids?

Uterine fibroids, also called uterine leimyomas or myomas, are non-cancerous growths that originate in the muscular wall of the uterus. Fibroids are the most common type of tumor found in female reproductive organs.

What is the Symptoms of Uterine Fibroids?

Many women with fibroids do not have any symptoms. When symptoms do occur, they may include:

Heavy and prolonged menstrual bleeding

Painful menstrual periods

Pressure and pain in the abdomen and lower back

Bloated and swollen abdomen

Frequent urination


Pain during intercourse

What is the main cause of ovarian cyst?

The most common causes of ovarian cysts include: Hormonal problems. Functional cysts usually go away on their own without treatment. They may be caused by hormonal problems or by drugs used to help you ovulate

Is ovarian cyst a serious problem?

Most of the time, you have little or no discomfort, and the cysts are harmless. Most cysts go away without treatment within a few months. But sometimes ovarian cysts can become twisted or burst open (rupture). This can cause serious symptoms

What is the symptoms of ovarian cyst?

Pelvic pain - this can range from a dull, heavy sensation to a sudden, severe and sharp pain. pain during sex. difficulty emptying your bowels. a frequent need to urinate.

Is a laparoscopic hysterectomy a major surgery?

Hysterectomy is a major surgical procedure in which the uterus and possibly the ovaries, fallopian tubes, and cervix are removed. The surgery can be done in several ways, one of which is laparoscopically.

What is a total laparoscopic hysterectomy?

Definition: Total Laparoscopic Hysterectomy (TLH) is an operation to remove the uterus (womb) and cervix with the aid of a small operating telescope, called a laparoscope. The laparoscope is inserted into the abdominal wall through a small incision and allows the doctor to examine the pelvis/abdomen.

Why is a hysterectomy performed?

Healthcare providers perform hysterectomies to treat:

Abnormal or heavy vaginal bleeding that isn't managed by other treatment methods.

Severe pain with menses that isn't managed by other treatment methods

Leiomyomas or uterine fibroids (noncancerous tumors).

Increased pelvic pain related to your uterus but not managed by other treatments.

Uterine prolapse (uterus that has "dropped" into your vaginal canal due to weakened support muscles) that can lead to urinary incontinence or difficulty with bowel movements.

Cervical or uterine cancer or abnormalities that may lead to cancer for cancer prevention.

Conditions with the lining of your uterus, like hyperplasia, recurrent uterine polyps or adenomyosis.

Laparoscopic hysterectomy :

A laparoscope (a thin tube with a video camera on the end) is inserted in your lower abdomen through a small incision in your belly button.

Surgical tools are inserted through several other small incisions.

Your uterus can be removed in small pieces through the incisions in your abdomen or through your vagina.

Some people go home the same day or after one night in the hospital.

Full recovery is shorter and less painful than an abdominal hysterectomy.

Also known as an "open" myomectomy, an abdominal myomectomy is a major surgical procedure. It involves making an incision through the skin on the lower abdomen, known as a "bikini cut," and removing the fibroids from the wall of the uterus. The uterine muscle is then sewn back together using several layers of stitches.

What is a myomectomy?

A myomectomy describes a surgical procedure involving the removal of uterine fibroids while preserving the uterus. Fibroids are noncancerous growths can that develop in or on the walls of the uterus.

Uterine fibroids, also known as leiomyomas and myomas, are the most commonTrusted Source noncancerous, or benign, tumors in females of childbearing age. Fibroids refer to growths of smooth muscle cells and connective tissue that may be present in or on the walls of the uterus.

A person may have one or multiple fibroids, which can vary in size. Some people may not experience symptoms, while others have heavy and painful periods. Fibroids become more common as females age, and between 20-80%Trusted Source of females develop them by the age of 50 years. While most uterine fibroids are noncancerous, they can be cancerous in rare cases, where doctors call them leiomyosarcomas.

What are Fertility Enhancing Surgeries?

Fertility Enhancing surgeries are surgeries that help to enhance or restore fertility in women with infertility complications. Many infertility complications like fibroids, endometriosis, dermoid, adhesions, PCOD, etc affect the fertility in a woman.

What are 4 causes for female infertility?

Risk factors

Age. The quality and quantity of a woman's eggs begin to decline with age. ...

Smoking. Besides damaging your cervix and fallopian tubes, smoking increases your risk of miscarriage and ectopic pregnancy. ...

Weight. Being overweight or significantly underweight may affect ovulation. ...

Sexual history. ...


When is a female most infertile?

A woman's peak reproductive years are between the late teens and late 20s. By age 30, fertility (the ability to get pregnant) starts to decline. This decline becomes more rapid once you reach your mid-30s. By 45, fertility has declined so much that getting pregnant naturally is unlikely for most women.

What is a hysteroscopy done for?

A hysteroscopy can be used to: investigate symptoms or problems - such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding, pelvic pain, repeated miscarriages or difficulty getting pregnant. diagnose conditions - such as fibroids and polyps (non-cancerous growths in the womb)

Why would a doctor order a hysteroscopy?

A hysteroscopy is most often used to: Diagnose the cause of abnormal bleeding. Help find the cause of infertility, the inability to get pregnant after at least a year of trying. Find the cause of repeated miscarriages (more than two miscarriages in a row)

What is a polypectomy in the uterus?

A hysteroscopic polypectomy and myomectomy is a minimally invasive procedure that removes growths within a woman's uterine cavity through the vagina.

Is a polypectomy considered surgery?

A polypectomy is the surgical removal of a polyp. Colon polyps can be removed through open abdominal surgery, but more commonly it is performed during a colonoscopy. The endoscopist may snip off a small polyp with a forceps or remove a larger polyp with a snare that burns through the base of the polyp.

What is the main cause of endometriosis?

Retrograde menstrual flow is the most likely cause of endometriosis. Some of the tissue shed during the period flows through the fallopian tube into other areas of the body, such as the pelvis. Genetic factors. Because endometriosis runs in families, it may be inherited in the genes.

What are 4 symptoms of endometriosis?

Common signs and symptoms of endometriosis include:

Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before and extend several days into a menstrual period. ...

Pain with intercourse. ...

Pain with bowel movements or urination. ...

Excessive bleeding. ...

Infertility. ...

How do you know if you have endometriosis?

Tests to check for physical clues of endometriosis include:

1. Pelvic exam. During a pelvic exam, your doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. ...

2. Ultrasound. ...

3. Magnetic resonance imaging (MRI). ...

4. Laparoscopy

Is laparoscopy a major surgery?

Although patients tend to think of laparoscopic surgery as minor surgery, it is major surgery with the potential for major complications - visceral injury and bleeding, injury to the bowel, or injury to the bladder.


Compared to traditional open surgery, patients often experience less pain, a shorter recovery, and less scarring with laparoscopic surgery.

How painful is laparoscopic surgery?

For a few days after the procedure, you're likely to feel some pain and discomfort where the incisions were made, and you may also have a sore throat if a breathing tube was used. You'll be given painkilling medication to help ease the pain.

What are common medical risk factors for a high-risk pregnancy?

People with many preexisting conditions have increased health risks during pregnancy. Some of these conditions include:

Autoimmune diseases, such as lupus or multiple sclerosis (MS).




High blood pressure.


Kidney disease.

Low body weight (BMI of less than 18.5).

Mental health disorders, such as depression.


Polycystic ovary syndrome (PCOS).

Thyroid disease.

Blood clotting disorders.


A challenging job to cure critical patients.

Fibroid Operation

Ovarian cyst

Laparoscopic Hysterectomy


Fertility enhancing surgery




Laparoscopic Surgery