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:-
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
TAH with BSO
Myolysis
Myometomy
Uterine aery embolisation (UAE)
Gynaecology