Surgical treatment for asymptomatic uterine myoma is indicated if
If myoma is pedunculated
Tumour is larger than size of 3months pregnancy
Diagnosis is unceain
All the above
Management of myomas: Asymptomatic : observation with regular follow up Size < 12 weeks Uncomplicated pregnancy with fibroid Surgery: Size > 12weeks Cornual fibroid causing infeility Pedunculated cornual fibroid Pregnancy with torsion of pedunculated fibroid Symptomatic myoma: Medical: Hormones to shrink the fibroid _ surgery unterine aery embolization Myomectomy Lap myomectomy Lap myolysis MRI guided ablation Total / sub total abdominal hysterectomy Vaginal hysterectomy Total laproscopic hysterectomy Lap hysterectomy Lap assisted vaginal hysterectomy Cervical (1%): Vaginal polypectomy Myomectomy Lap myomectomy MRI guided myolysis Vaginal hysterectomy Total abdominal hysterectomy Ref Shaw 16th edition pg 409
PCOD, hirsutism and galactorrhea