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Endometriosis & Fibroid Clinic

  • Fellowship-trained minimal access laparoscopic surgeon (F.MAS, D.MAS)
  • Uterus-preserving laparoscopic myomectomy (fibroid excision)
  • Advanced laparoscopic excision of deep endometriosis & chocolate cysts
  • Hysteroscopic resection of submucous fibroids and polyps
  • Tubal cannulation and adhesiolysis for natural conception
  • Preservation of ovarian reserve (AMH protection techniques)
  • Chronic pelvic pain and dysmenorrhea relief
  • Day-care / 24-hour discharge with minimal cosmetic incisions
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Minimally invasive gynecological surgery in Lucknow - Dr. Noopur Bajpai

Introduction

Uterine fibroids and endometriosis are two of the most prevalent gynecological conditions leading to severe pelvic pain, heavy menstrual bleeding, and difficulty conceiving. While both are benign (non-cancerous), their impact on a woman’s physical comfort, emotional wellness, and reproductive potential can be profound.

At Dr. Noopur’s Florentine Clinic in Lucknow, Dr. Noopur Bajpai brings specialized surgical expertise as a Diploma and Fellowship holder in Minimal Access Surgery (F.MAS, D.MAS from World Laparoscopy Hospital, Gurugram). We prioritize fertility preservation above all—employing advanced 3D keyhole laparoscopy and hysteroscopy to precisely remove fibroids and endometriotic implants while keeping the uterus intact and protecting your ovarian reserve.

Treatment Approach

Our treatment philosophy is personalized according to your age, severity of symptoms, and family planning goals:

1. Diagnostic Accuracy & Mapping: High-resolution transvaginal sonography (TVS), 3D saline infusion sonography (SIS), and pelvic MRI where necessary pinpoint the exact size, number, and location of fibroids (subserosal, intramural, or submucosal) and assess deep infiltrating endometriotic lesions.

2. Medical Symptom Management: For mild to moderate cases, hormonal therapies (progestins, GnRH agonists/antagonists, and non-steroidal anti-inflammatories) are utilized to control bleeding and relieve cyclical pain.

3. Laparoscopic Myomectomy (Keyhole Fibroid Removal): Fibroids distorting the uterine cavity or causing significant bulk symptoms are removed via 3–4 tiny 5mm punctures. The uterine wall is meticulously reconstructed with multi-layered sutures to ensure strength for future pregnancies.

4. Endometriotic Cystectomy & Adhesiolysis: Chocolate cysts (endometriomas) are gently excised rather than just drained, using cold scissors and bipolar coagulation to minimize thermal damage to healthy ovarian follicles.

Conditions Treated

We provide specialized care for a wide range of benign uterine and pelvic conditions:

  • Submucosal & Intramural Fibroids: Tumors growing beneath the uterine lining that interfere with embryo implantation or cause heavy bleeding.

  • Ovarian Endometriomas (Chocolate Cysts): Blood-filled cysts in the ovaries caused by ectopic endometrial tissue.

  • Pelvic Adhesions & Tubal Distortion: Scar tissue binding the uterus, ovaries, and fallopian tubes, restricting natural egg transport.

  • Adenomyosis: Ingrowth of endometrial tissue into the muscular uterine wall, leading to an enlarged, tender uterus.

Dr. Noopur ensures transparent guidance on whether medical care, laparoscopic intervention, or assisted reproduction (IVF) is the optimal path forward.

FAQs

Will my uterus be preserved during fibroid surgery? +
Yes, absolutely. A myomectomy selectively removes only the fibroids while fully repairing and preserving the uterus. Hysterectomy (uterus removal) is never performed when women desire future childbearing or wish to preserve their uterus.
How long is the recovery period after laparoscopic myomectomy? +
Because laparoscopic surgery avoids large abdominal incisions, post-operative pain is minimal. Patients are typically mobile within hours, discharged within 24–48 hours, and can resume light desk work and daily routines within 7 to 10 days.
Does endometriosis always cause infertility? +
Not always, but it is responsible for up to 30–50% of female infertility due to pelvic inflammation and anatomical distortion. Surgical clearance of adhesions combined with IVF or IUI allows the vast majority of women with endometriosis to conceive.
Can fibroids grow back after surgery? +
While existing fibroids removed during surgery cannot regrow, new fibroids can occasionally develop over the years until menopause. Regular follow-up ultrasounds and medical monitoring help keep uterine health optimal.
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