Sucheta, a 29-year-old nulliparous women complains of severe menorrhagia and lower abdominal pain since 3 months. On examination there was a 14 weeks size uterus with fundal fibroid. The treatment of choice is:
1.Myomectomy
2.GnRH analogs
3.Hystrectomy
4.Wait and watch
explanation
First, let us see whether we would like to go for medical management or surgical intervention.
The patient is presenting with:
Severe menorrhagia
Chronic lower abdomen pain
These indications are strong enough for surgical intervention. Earlier size of fibroid >12 weeks was also an indication for surgery but nowadays it is not.
Now comes the question - whether myomectomy or hysterectomy should be done.
Indication of Myomectomy: Myomectomy is specifically indicated in an infertile woman or woman desirous of bearing child and wishing to retain her uterus.