Uterine myomas: management

Fertil Steril. 2007 Aug;88(2):255-71. doi: 10.1016/j.fertnstert.2007.06.044. Epub 2007 Jul 20.

Abstract

Objective: To review the currently available literature regarding the current management alternatives available to women with uterine myomas.

Design: Literature review of 198 articles pertaining to uterine myomas.

Result(s): Many advances have been made in the management of uterine myomas. Watchful waiting; medical therapy; hysteroscopic myomectomy; endometrial ablation; laparoscopic myomectomy; abdominal myomectomy; abdominal, vaginal, and laparoscopic hysterectomy; uterine artery embolization; uterine artery occlusion; and focused ultrasound are now available.

Conclusion(s): Many options are now available to women with uterine myomas. The presently available literature regarding the treatment of myomas is summarized.

Publication types

  • Review

MeSH terms

  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Female
  • Fertility
  • Gonadotropin-Releasing Hormone / agonists
  • Gonadotropin-Releasing Hormone / antagonists & inhibitors
  • Gonadotropin-Releasing Hormone / therapeutic use
  • Gynecologic Surgical Procedures / adverse effects
  • Humans
  • Intrauterine Devices
  • Leiomyoma / diagnosis
  • Leiomyoma / therapy
  • Menopause / physiology
  • Models, Biological
  • Myoma / diagnosis
  • Myoma / therapy*
  • Obstetric Surgical Procedures / adverse effects
  • Pregnancy
  • Premedication
  • Progesterone / administration & dosage
  • Prognosis
  • Uterine Neoplasms / diagnosis
  • Uterine Neoplasms / therapy*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Gonadotropin-Releasing Hormone
  • Progesterone