Surgical treatment for asymptomatic uterine myoma is indicated if
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
If myoma is pedunculated
Tumour is larger than size of 3months pregnancy
Diagnosis is unceain
All the above
PCOD, hirsutism and galactorrhea