30 years old female presents in gynaec OPD with complaints of recurrent aboions and menorrhagia. Her USG showed 2 sub-serosal fibroids of 3 x 4 cm on anterior wall of uterus and fundus, which is best line of management:-
TAH with BSO
Myolysis
Myometomy
Uterine aery embolisation (UAE)
Laparoscopic myomectomy is best treatment for such young infeile patients The laparoscopic approach can be done when 3 fibroids of cumulative size of 15 cm is present or for a single Fibroid of 15 cm is present. This case is ideal for such a procedure Uterine Aery embolisation may result in compromised blood flow after and maybe associated with infeility and placental insufficiency in pregnancy
Gynaecology