Alternatives to Hysterectomy in the Management of Leiomyomas

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Alternatives to Hysterectomy in the Management of Leiomyomas

The American College of Obstetricians and Gynecologists Practice Bulletin:
Alternatives to Hysterectomy in the Management of Leiomyomas
Stewart, Elizabeth MD, ACOG Committee on Practice Bulletins. AMERICAN COLLEGE OF OBSTETRICIANS
AND GYNECOLOGISTS. 2008 Vol. 112, No. 2, Part 1, pp 387‐400.


Summary

Uterine Leiomyomas (also known as fibroids) are the most common solid pelvic tumors in women and the leading indication for hysterectomy. While many women have no symptoms and do not require treatment, some require more active measures. Hysterectomy remains the most common surgical treatment for leiomyomas because it is the only definitive treatment and does not allow recurrence. Many women seek an alternative to hysterectomy because they desire future childbearing or wish to retain their uteri even if done with childbearing. As alternatives to hysterectomy become more available, it is important to evaluate the efficacies and risks of these treatments. This bulletin reviews literature about alternatives to hysterectomy and offers treatment recommendations.

For more, Visit the ACOG website

Alternatives to Hysterectomy in the Management of Leiomyomas

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