Keep your uterus. Choose the right technique.

Fibroids (myomas) are benign muscular tumours of the uterus. They are extremely common — up to 70% of women will develop them by age 50. Most are harmless, but they can cause heavy bleeding, pelvic pain, pressure symptoms, anaemia and — in some cases — difficulty conceiving.

The short answer: almost never as a first choice. Historically, many women were told a hysterectomy (removal of the uterus) was the only solution — even when they had not completed their family or simply wanted to keep their uterus. Modern gynaecology takes a different position.

Dr Berra Önsoy's approach is uterus-preserving by default: the fibroids are removed and your uterus is carefully reconstructed. Hysterectomy is reserved for rare situations where preservation would put your health at risk — and only after you understand every alternative and agree.

There is no single "best" fibroid operation. The right technique depends on how many fibroids you have, how big they are, where they sit in the uterine wall, your fertility plans and your general health. The three main uterus-sparing options are:

• Hysteroscopic myomectomy — for fibroids that grow inside the uterine cavity (submucous). No abdominal incision, no visible scar, day-case, back to normal in 1–2 days.
• Laparoscopic myomectomy — keyhole surgery through 3–4 small incisions for intramural and subserous fibroids. Less pain, minimal scarring, faster recovery than open surgery.
• Open (abdominal) myomectomy — for very large, very numerous or awkwardly placed fibroids where a strong, safe uterine repair matters more than a small scar. Still uterus-preserving; still fertility-friendly.

The decision is made together with you after a detailed ultrasound (and MRI when needed), a review of your fertility and lifestyle priorities, and a clear explanation of the pros and cons of each route.

Uterus-sparing surgery is explicitly designed to protect fertility. When the uterine wall is opened, Dr Berra reconstructs it in careful anatomical layers to give it the strength it needs to carry a future pregnancy. Depending on the depth of the repair, a planned interval (usually 6–12 months) before conceiving is discussed, along with the safest delivery route.

• JCI-accredited hospitals with modern laparoscopy and hysteroscopy suites.
• High-volume experience — Dr Berra Önsoy has performed myomectomies of every complexity for nearly three decades.
• Uterus-first philosophy — hysterectomy only when truly needed, not by default.
• Transparent packages — hospital, anaesthesia, surgery, hotel and transfers included, at a fraction of UK/EU private prices.
• English-speaking coordination and remote follow-up after you return home.

1. Free video consultation and review of your ultrasound / MRI.
2. Personalised recommendation: which fibroids to remove and via which technique.
3. Written package with hospital, hotel and travel plan.
4. Pre-op assessment on arrival in Istanbul.
5. Surgery in a JCI-accredited hospital.
6. Recovery in Istanbul, then long-term follow-up online.