- October 28, 2025
At Nurturing Petals Hospital & Fertility Centre, Sakinaka, Mumbai, we frequently meet couples at very different stages of their parenthood journey. Some come in with joy and excitement, while others arrive feeling anxious or uncertain. One such case involved a young couple who recently visited us after finding out they were pregnant. Their situation highlights how timely evaluation and expert intervention can save lives.
Background: A Couple’s Struggle with Hope and Fear
A couple undergoing in-vitro fertilisation (IVF) approached us with a crucial challenge. Before proceeding with their embryo transfer, the patient was advised to remove fibroids that could interfere with her chances of successful implantation and pregnancy.
Fibroids, also known as uterine leiomyomas, are benign growths in the uterus that can sometimes cause heavy bleeding, pelvic pain, or fertility complications. In women preparing for IVF, fibroids that distort the uterine cavity can significantly reduce implantation rates or increase miscarriage risk.
Before visiting Nurturing Petals, the couple had already consulted several hospitals. However, they were repeatedly told that surgery might be highly complicated and that there was a risk of losing the uterus if excessive bleeding occurred during the procedure. For a woman already struggling with infertility, this possibility was devastating.
By the time they reached our clinic, they were anxious, emotionally drained, and uncertain if they would ever be able to pursue parenthood.
Our Approach: Empathy Before Everything
At Nurturing Petals, we believe that good treatment starts with understanding the patient’s fears. During the initial consultation, our doctors spent time explaining every aspect of the condition, what fibroids are, how they affect fertility, and how modern laparoscopic surgery can treat them safely.
We assured the couple that our goal was not just to remove the fibroids but to preserve the uterus and protect future fertility. Through detailed counselling and visual explanations of laparoscopic techniques, we helped them see that the surgery could be performed safely, with minimal discomfort and a faster recovery.
However, this case presented two significant challenges:
- Conflicting diagnostic reports – The couple had multiple sonography reports from different centres, each suggesting varying fibroid sizes, numbers, and locations. This inconsistency made it difficult to plan surgery precisely.
- Anaesthetic risk – The patient had a high body mass index (BMI) and a short neck, both of which posed an elevated risk for general anaesthesia and intubation.
To move forward safely, our team needed a clear plan supported by accurate data and multidisciplinary preparation.
Step 1: Accurate Diagnosis through 3D Fibroid Mapping
The first step was to eliminate the confusion created by the earlier scans. We recommended a 3D fibroid mapping at a trusted diagnostic centre. Unlike conventional ultrasound, 3D mapping provides a detailed three-dimensional view of the uterus, clearly showing the exact size, number, and position of all fibroids.
This investigation revealed multiple fibroids, some embedded within the uterine wall and one pressing close to the uterine cavity, the one most likely to affect implantation. Having this information allowed our team to strategically plan the surgical approach, ensuring all fibroids affecting fertility would be removed while keeping the uterus intact.
Step 2: Safe Anaesthesia Planning
The next challenge was the patient’s anaesthetic risk. Because of her high BMI and short neck, intubation could be difficult. To mitigate any potential risks, we arranged a pre-anaesthetic assessment with a senior anaesthesiologist.
This evaluation included:
- Airway examination and simulation for intubation strategy
- Assessment of cardiopulmonary function
- Discussion with the surgical team regarding positioning and duration of surgery
With a well-documented anaesthesia plan and safety measures in place, we ensured that the patient would receive care that was not just effective but also meticulously safe.
Step 3: Laparoscopic Surgery – Precision with Preservation
The patient was discharged on the same day, with clear post-surgery care instructions. Recovery was uneventful, and the patient reported no major discomfort. Both the patient and her partner felt reassured by the timely diagnosis, clear communication, and professional care they received at our centre.
Recovery and Outcome
Post-surgery, the patient’s recovery was smooth. She was able to walk, eat, and sit up on the same day of the surgery — something rarely possible with traditional open methods. Pain was minimal, and no postoperative complications occurred.
By the next evening, she was discharged with post-operative care instructions and guidance on when she could resume her IVF treatment. Within a few weeks, she was physically fit and emotionally ready to continue her fertility journey. When the couple left the hospital, they were visibly relieved. What began as a frightening situation had turned into a story of hope and healing. The surgery not only preserved her uterus but also gave her the confidence to move forward in her dream of becoming a mother.
Doctor’s Perspective
“Every woman deserves the chance to experience motherhood, and preserving the uterus is always a top priority, especially in fertility patients. In this case, advanced imaging, careful planning, and laparoscopic precision came together to deliver a safe and successful result. It’s a reminder that modern medicine, when combined with empathy, can truly change lives.”
— Dr. Milind Chauhan, Consultant Gynaecologist, Nurturing Petals Hospital & Fertility Centre
Key Learnings from the Case
- Detailed imaging and diagnosis are essential before any fibroid surgery, especially for fertility patients.
- Laparoscopic surgery allows the precise removal of fibroids with minimal bleeding and faster recovery.
- Preanaesthetic evaluation is critical in high-risk patients to ensure maximum safety.
- Emotional support and counselling play a major role in patient confidence and recovery.
- Team coordination between gynaecologists, anaesthesiologists, and radiologists ensures optimal outcomes.
Our Message to Women & Couples
At Nurturing Petals Hospital, we understand the emotional and physical complexities that come with fertility challenges. Our team is dedicated to providing fertility-preserving, minimally invasive, and patient-centred care for every woman.
If you or your loved one is facing a similar concern, whether it’s fibroids, endometriosis, or other fertility-related conditions, we are here to help with clarity, compassion, and cutting-edge expertise. You deserve a treatment plan that values both your health and your dreams of motherhood.
For Compassionate, Quick, and Effective Healthcare
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Dr. Milind Chauhan
Gynaecologist & Obstetrician
Dr. Milind Chauhan is a trusted and reputed gynaecologist and obstetrician in Andheri East, Mumbai, specialising in infertility treatment in both males and females, pregnancy care, medical termination of pregnancy, normal vaginal delivery, and general women’s healthcare. Dr. Milind also offers other women’s healthcare services such as pregnancy counselling, PCOS treatment, menstrual disorder care, and menopause advice.
