Dr Jasdev Singh
Surgery for Large or Multiple Fibroids
When fibroids are very large or many, careful planning helps decide between keyhole and open surgery, and whether the womb can be kept.
Open Gynaecological Surgery
Planning surgery when fibroids are large or numerous
Large or multiple fibroids can cause heavy bleeding, pressure on the bladder or bowel, pain and a swollen tummy. Surgery may remove the fibroids and keep the womb (myomectomy), or remove the womb (hysterectomy). The choice depends on your symptoms, age and plans for pregnancy.
Large fibroids can make surgery more complex, so preparation matters.
Dr Jasdev reviews detailed imaging and discusses whether medicine before surgery could shrink the fibroids.
Careful assessment before surgery
Scans, symptoms and past operations are reviewed, so surgery is only suggested when it is likely to help.
Fertility kept in mind
If you hope to conceive in future, surgery is planned to protect your womb, tubes and ovaries as far as possible.
Clear recovery guidance
You will know what recovery involves, when to return to normal activities and when your review is due.
What careful planning gives you
- A clear map of every fibroid
- Treatment of anaemia before surgery
- A choice between keeping or removing the womb
How your care is planned
Each stage is explained so you know why surgery is being considered, what it involves and how recovery will go. You can take time to decide.
Map the fibroids with MRI or ultrasound
Prepare with iron, or medicine to shrink fibroids if needed
Perform a myomectomy or hysterectomy
How treatment is planned
An MRI shows the size, number and position of each fibroid. Medicines may be used for a few months to shrink fibroids and improve blood levels before surgery. Surgery may be keyhole or open, depending on size and number. Steps are taken to reduce blood loss during the operation.
Who may benefit
Women with very large or numerous fibroids causing symptoms, including those who want to keep their womb for a future pregnancy. It also suits women who have been told the womb cannot be kept and would like a second opinion.
What to expect
Recovery depends on the operation, from about two weeks after keyhole surgery to six weeks after open surgery. If the womb is kept, you will be advised when it is safe to try to conceive, and how a future birth should be planned. Before surgery, anaemia is treated so you recover more easily. A later scan may be arranged to check for any new fibroids.
How Dr Jasdev works with you
He combines surgical and fertility experience, and he explains each option plainly, including when surgery may not be needed. Plans follow current evidence and your hopes for the future. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
These records help Dr Jasdev plan surgery safely and answer your questions fully. If you cannot find everything, bring what you have.
- MRI or ultrasound reports
- A recent blood count and iron levels
- Your plans for pregnancy
What women often ask
Surgery brings natural worries about safety, recovery and fertility. These common questions can help you prepare.
Can my womb be saved?
Will I need a blood transfusion?
Should I take medicine before surgery?
Could the fibroids come back?
Your questions about surgery for large fibroids
What does surgery for large or multiple fibroids involve?
It means either removing the fibroids and keeping the womb, or removing the womb, depending on your symptoms and plans.
Who is it suitable for?
Women with large or many fibroids causing heavy bleeding, pressure or pain.
What tests are needed first?
An MRI or detailed ultrasound, a blood count and a health check before surgery.
Is it painful or risky?
Pain after surgery is managed with medicine. Risks include heavy bleeding, blood transfusion, infection, blood clots and injury to nearby organs.
Why see Dr Jasdev for this?
He plans complex fibroid surgery carefully and respects your wishes about keeping your womb.
How do I book?
Call or WhatsApp the clinic, and bring your scan reports.
This page is general information and does not replace a consultation. Whether surgery suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Plan fibroid surgery carefully
Book a consultation to review your options.