Fertility-Preserving Surgery in Nairobi — with Prof. Rafique Parkar
Every operation planned around the family you still want. Fertility preservation is a philosophy applied across the whole practice: conserving the uterus, protecting ovarian reserve, minimising thermal injury and preventing the adhesions that follow careless surgery.
Understanding fertility-preserving surgery
Fertility preservation is a philosophy applied across the whole practice: conserving the uterus, protecting ovarian reserve, minimising thermal injury and preventing the adhesions that follow careless surgery.
Planning begins before theatre with imaging, ovarian reserve testing and a clear conversation about your goals. Technique is then tailored to protect them.
Symptoms
When to seek expert care
- Fibroids in women planning pregnancy
- Endometriomas with low ovarian reserve
- Tubal disease
- Intrauterine adhesions
- Recurrent pregnancy loss
- Pre-treatment planning before oncology care
Causes
What we currently understand
- Hormonal imbalance affecting the uterus, ovaries or endometrium
- Previous pelvic surgery, infection or inflammation
- Structural change within the uterus, tubes or ovaries
- Genetic and family predisposition
- Age-related and reproductive-stage changes
- In some cases, no single identifiable cause
Risk Factors
Who is most affected
- Family history of gynecologic disease
- Previous pelvic or abdominal surgery
- Untreated pelvic infection
- Delayed diagnosis of pelvic pain or abnormal bleeding
- Endometriosis or fibroids already diagnosed
- Obesity and metabolic factors
Diagnosis
A careful, layered workup
- Detailed history and pelvic examination
- Transvaginal and abdominal ultrasound
- MRI in complex or deep disease
- Blood tests including hormonal and tumour markers where relevant
- Diagnostic laparoscopy when imaging is inconclusive
- Fertility assessment when pregnancy is planned
A tailored plan — not a template.
Every option is discussed openly with you, with the risks, benefits and alternatives laid out clearly.
Myomectomy (Fibroid Removal)
Fibroids removed, uterus preserved.
Laparoscopic Hysterectomy
Removal of the uterus through keyhole access, not a large incision.
Ovarian Cyst Removal (Cystectomy)
The cyst removed, healthy ovarian tissue protected.
Oophorectomy (Ovary Removal)
Removal of an ovary when preservation is unsafe.
Salpingectomy (Fallopian Tube Removal)
Removal of a diseased or ruptured tube, often as an emergency.
Tubal Surgery
Reconstructive surgery to restore tubal patency and function.
Adhesiolysis (Removal of Pelvic Adhesions)
Freeing organs bound together by scar tissue.
Endometriosis Surgery
Excision — not ablation — of superficial and deep disease.
Fertility-Preserving Surgery
Every operation planned around the family you still want.
Small incisions. Real recovery.
Prof. Parkar pioneered laparoscopic gynecology in East Africa. Advanced keyhole and hysteroscopic techniques mean less pain, minimal scarring, and a faster return to life.
Discuss Your Options- Incisions of only 4–10mm, hidden along the navel and bikini line.
- Usually performed as a day-case or with a single overnight stay.
- High-definition optics magnify the surgical field for precise, tissue-sparing work.
- Fertility and ovarian reserve are protected wherever it is safe to do so.
Recovery
What to expect after treatment
- Varies by procedure; conception timelines are discussed individually at your follow-up.
Why patients choose this approach.
A trusted name in African gynecology.
25+ Years of Pioneering Work
Prof. Parkar introduced laparoscopic gynecology to East Africa and continues to train surgeons across the continent.
FRCOG · EBS Board Certified
International qualifications and continuous participation in world-leading gynecology bodies.
Personal, Unhurried Care
Every consultation is private, thorough and explained in plain language — never rushed.
Complete Multidisciplinary Team
Anesthesia, imaging, fertility and, when needed, oncology colleagues working as one team.
Questions about fertility-preserving surgery
Speak to Prof. Parkar today.
Choose a time that works for you — online or in-person at Aster Healthcare, 3rd Parklands Avenue, Nairobi. Same-day responses and full pre-consultation guidance.