Fibroids · Microwave ablation · HyderabadOne needle.
No cut. Uterus kept.
A thin probe heats a smaller fibroid from the inside, through the skin of the lower tummy. Nothing through the vagina. Home within a day.
How microwave ablation works, in 30 seconds
- 1Needle inA thin probe goes through the skin of the lower tummy, guided by ultrasound.
- 2HeatMicrowave energy at the tip heats the fibroid from the inside.
- 3ShrinkThe treated fibroid is slowly absorbed and shrinks over the months.
Animation: Canyon Medical Inc., used with permission
At a glance
- Entry
- One needlethrough the tummy
- Anaesthesia
- Localwith sedation
- Ablation
- 30–40 minper session
- Home
- Same dayor next morning
Who is it for
This treatment is for you if:
- You have a small fibroidOr two to three small ones.
- You are not married yetThe needle goes in through the tummy. Nothing is done through the vagina.
- You want to get pregnant soonThe uterus is not cut, so it heals quickly.
- You do not want surgeryNo cuts, no stitches. Back to work in a few days.
Not sure? Share your scan report. Dr. Nagateja Bonala will tell you if it suits you.
Results
Does it work?
Compare
Microwave ablation vs UFE vs surgery
Many fibroids or a bulky uterus? UFE treats them all in one sitting →
Recovery
How soon will I be back?
- Day 0Ablation under sedation. Rest, then home.
- Days 1–3Mild cramps, eased with tablets.
- Day 3–5Back to desk work and daily routine.
- Months 1–3Bleeding and pressure settle.
- Months 3–6Scan checks how much it has shrunk.
Adenomyosis
Have adenomyosis? It can help too.
When adenomyosis forms one thick patch in the uterine wall, the same needle can heat it. In a study of 142 women, ovarian hormone levels stayed normal after ablation [4]. If adenomyosis runs through the whole wall, embolization works better, with a Mirena added if symptoms return.
FAQ
Common questions
What is microwave ablation for fibroids?
It is a non-surgical treatment where a thin probe is guided through the skin of the lower tummy into the fibroid under ultrasound. Microwave energy heats and kills the fibroid tissue, and the fibroid then shrinks over the following months. The uterus is kept and its wall is not cut.
I am not married. Is the procedure done through the vagina?
No. At Clinic Seven, microwave ablation is done through the skin of the lower tummy (the transabdominal route). Nothing is passed through the vagina, so it suits unmarried women. Only a small needle mark is left on the tummy.
How is it different from UFE (fibroid embolization)?
Microwave ablation heats one fibroid at a time through a needle. UFE blocks the blood supply to all the fibroids at once through a tiny tube placed in the wrist or groin. MWA is the first choice for smaller fibroids and for women planning a pregnancy soon. UFE is usually better when there are many fibroids or the whole uterus is enlarged.
Does it hurt?
It is done with local anaesthetic and sedation, so you are relaxed and comfortable during the procedure. Afterwards, most women have cramps or a dull ache for 2 to 3 days that settles with tablets.
How much does the fibroid shrink?
In published studies, fibroids shrank by about 60% at 6 months and continued to shrink after that. Symptom scores fell by about two-thirds. Bleeding and pressure usually ease before the fibroid has finished shrinking.
How long is the hospital stay?
Most women go home the same day or the next morning. The ablation itself usually takes 30 to 40 minutes, depending on the size and number of fibroids.
Can I get pregnant after microwave ablation?
Yes, that is one of the main reasons women choose it. The uterus is kept, its wall is not cut and its lining is left alone, and pregnancies after microwave ablation have been reported. Dr. Nagateja Bonala plans the timing with you and your gynaecologist, usually allowing a few months for the fibroid to shrink first.
Can microwave ablation treat adenomyosis too?
Yes, in selected women. MWA can treat a focal area of adenomyosis (adenomyoma) in the same way. When adenomyosis is spread through the whole uterine wall, uterine artery embolization, with a Mirena added if needed, is often the better choice.
Where can I get microwave ablation for fibroids in Hyderabad?
Microwave ablation for fibroids is offered at Clinic Seven, Kukatpally, Hyderabad by Dr. Nagateja Bonala, Interventional Radiologist. Bring your pelvic ultrasound or MRI and recent blood reports to the consultation.
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Patient guides
Book a consultation
Bring your ultrasound or MRI report and recent blood tests.
Sources
- Liu L, et al. Ultrasound-guided microwave ablation in the management of symptomatic uterine myomas: a systematic review and meta-analysis (10 studies, 671 women). J Minim Invasive Gynecol, 2021.
- Ahmad F, et al. Clinical efficacy of percutaneous microwave ablation in treating uterine fibroids: a systematic review and meta-analysis (14 studies, 754 women). Eur J Obstet Gynecol Reprod Biol, 2025.
- Xia M, et al. Ultrasound-guided transabdominal microwave ablation versus laparoscopic myomectomy for FIGO type 3-5 uterine fibroids. Front Med (Lausanne), 2026.
- Yang Y, et al. Ultrasound-guided percutaneous microwave ablation for adenomyosis: efficacy of treatment and effect on ovarian function (142 women). Sci Rep, 2015.