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Microwave Ablation

Microwave ablation is a minimally invasive treatment option that may be considered for selected women with uterine fibroids.
Advanced Fibroid Care

Microwave Ablation (MWA) for Fibroids

Microwave ablation is a minimally invasive treatment option that may be considered for selected women with uterine fibroids. It is designed to target fibroid tissue with heat energy while preserving the uterus, with the goal of improving symptoms and recovery time.

Uterus-preserving
May be suitable for women seeking a non-hysterectomy option.
Minimally invasive
Designed to reduce tissue trauma compared with major open surgery.
Faster recovery pathway
Many patients value less downtime and an earlier return to routine.

What Are Uterine Fibroids?

Uterine fibroids are non-cancerous growths that develop in or around the uterus. Some women have no symptoms, while others may experience heavy periods, pelvic pressure, bloating, backache, frequent urination, pain during menstruation, or difficulty conceiving.

Heavy or prolonged periods

Fibroids can affect the uterine cavity or muscle wall, leading to heavier and longer menstrual bleeding.

Pelvic fullness or pressure

Larger fibroids may cause abdominal distension, pelvic heaviness, or pressure on surrounding organs.

Frequent urination

Fibroids near the front of the uterus can press against the bladder and increase urinary frequency.

Difficulty conceiving

Depending on their location and size, some fibroids may interfere with implantation or pregnancy outcomes.

How Microwave Ablation Works

Microwave ablation uses controlled heat energy to treat targeted fibroid tissue. Over time, the treated fibroid shrinks as the body gradually reabsorbs the damaged tissue.

1

Assessment

Ultrasound and clinical evaluation are used to assess the fibroid size, number, position, and symptom pattern.

2

Targeted Treatment

A microwave probe is placed into the fibroid under image guidance to deliver focused thermal energy.

3

Recovery

Patients usually expect a shorter recovery pathway than traditional open surgery, depending on complexity and individual health factors.

Is Microwave Ablation Suitable for Everyone?

Not every fibroid is best treated with microwave ablation. Depending on the number, size, location, fertility plans, or the presence of adenomyosis or other conditions, alternatives such as medication, hysteroscopic treatment, laparoscopic myomectomy, or hysterectomy may be more appropriate.

A complete consultation typically includes your symptoms, scan findings, menstrual history, fertility plans, prior treatments, and whether your case is best managed through a minimally invasive route. The final recommendation should always be individualized.

Treatment Comparison

The right treatment depends on your symptoms, scans, age, fertility plans, and personal preference.

Myomectomy
  • Removes fibroids while preserving the uterus
  • May be done hysteroscopically or laparoscopically
  • Often preferred in selected fertility-focused cases
  • Suitable for many fibroid patterns
Hysterectomy
  • Definitive treatment for fibroids
  • Removes the uterus
  • Not suitable for future pregnancy
  • May be considered when symptoms are severe or recurrent

Why Patients Consider Minimally Invasive Options

  • Less disruption to daily routine
  • Smaller access points compared with open surgery
  • Potential for shorter hospital stay in selected cases
  • Focus on symptom relief while preserving the uterus where appropriate

Important Considerations

  • Suitability depends on fibroid size, number, and location
  • Not all women with fibroids are ideal candidates for MWA
  • Fertility planning should be discussed clearly before treatment
  • Individual risks, expected outcomes, and alternatives should be reviewed during consultation

Frequently Asked Questions

Is microwave ablation the same as surgery?

It is a minimally invasive fibroid treatment that uses heat energy rather than removing the fibroid through a traditional open operation. Whether it is appropriate depends on your case.

Can microwave ablation preserve the uterus?

Yes. One of its main advantages is that it is designed as a uterus-preserving treatment option for selected patients.

Will every fibroid be suitable for MWA?

No. Fibroid size, number, location, symptoms, and fertility goals all influence whether MWA, myomectomy, medication, or another treatment is more suitable.

How do I know which treatment is right for me?

A detailed review with Dr Nurezwana is the best place to start. Your scan results, symptoms, and future pregnancy plans are important in deciding the most appropriate approach.

Set Appointment

Taking charge of your health starts here. Dr. Ezwana Elias is ready to provide expert care tailored to your needs

Opening Hours

Monday – Friday: 9AM – 5PM
Saturday: 9AM – 1PM
Sunday & Public Holidays: Closed

Reach us

KPJ Kajang Specialist Hospital, Suite 20, Level 1, Jalan Cheras, 43000 Kajang, Selangor

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Consultant Obstetrician & Gynaecologist

Dr. Nurezwana Elias

Dr. Ezwana Elias is a highly skilled Consultant Obstetrician & Gynaecologist specializing in minimally invasive gynaecological surgery (MIGS) and high-risk pregnancy management. With years of experience and advanced training, she provides patient-centered, compassionate care, ensuring the best outcomes for every woman. Whether it’s routine gynaecology, complex surgery, or maternity care, Dr. Ezwana is committed to excellence in women’s health.