Minimally Invasive Approach for Myomectomy

Mohammed Agdi, M.D; Togas Tulandi, M.D., M.H.C.M.

Disclosures

Semin Reprod Med. 2010;28(3):228-234. 

In This Article

Diagnosis and Management of Uterine Fibroid

Because many women with uterine fibroids usually do not require any treatment, careful counseling and reassurance are all that is required. In those with abnormal uterine bleeding, one has to exclude other causes of abnormal vaginal bleeding such as cervical polyp, endometrial hyperplasia, and endometrial cancer, especially in women >40 years of age. In women who present with infertility and a uterine fibroid, one should evaluate the uterine cavity for the presence of submucosal or intramural fibroids that are encroaching into the endometrial cavity.

Transvaginal ultrasound and saline infusion hysterosonography are often sufficient to delineate the contour of the endometrial cavity.[8] However, hysteroscopy is the gold standard to evaluate the uterine cavity, and it dictates the correct operative management.[9]

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