Matteo Berrettini could miss the French Open after the world number six was forced to withdraw from three tournaments as he continues to recover from minor hand surgery.

The Italian progressed to the Wimbledon final in 2021 and started the new season in encouraging fashion as he reached the Australian Open semi-finals, where he was well-beaten by eventual winner Rafael Nadal.

However, the 25-year-old has seemingly struggled from then on, with his next best performance coming in Rio – where he made the last eight – as he limped to a 9-6 record so far in 2022.

Further difficulties followed for Berrettini after he sustained an injury to his right hand late in March, forcing him to withdraw from the Miami Open before undergoing a "minor operation".

Berrettini provided another update on Instagram on Thursday, revealing he would not feature at the Monte-Carlo Masters, scheduled to start later this week, or the Madrid Open and Italian Open at the start of May.

The latter tournament in Rome begins just two weeks before the second grand slam of the year, leading to concerns that Berrettini may not feature at Roland Garros.

"UPDATE – following advice from the medical experts, my team and I have decided that it is crucial I do not put time pressure on my recovery process," he posted.

"We have therefore decided I should withdraw from the Monte-Carlo, Madrid and Rome tournaments to ensure I give myself the proper amount of time to return at my highest level.

"Withdrawing from these events, particularly Rome, was an extremely tough decision, however it is the right one to ensure many more years of competing at the highest level for the biggest trophies.

"Thanks very much for all the support. My recovery process is on track and I look forward to seeing you on-court soon."