Uterine Fibroid

A 25 year old female is complaining of prolonged periods ranging from 8 to 11 days from last 2 months is planning for a child. Meanwhile she got her USG Whole Abdomen done. Kindly tell about the treatment options for the fibroid as per site, size and type of fibroid?

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As uterine fibroid is small in Size - 33 × 8 mm - it will shrink with medical treatment in 3 months time Medical treatment options are 1 Tab Fibroease ( mifepristone 25 mg ) O.D for 3 months OR 2.GnRH agonists - Lupron Get a repeat Ultrasonography after 3 months. Thereafter - she can conceive

Progesterone preparation for 3 to4 month it will regularised period as well as reduce size of fibroid & pregnancy possible with fibroid use ovulation studies fsh LH TSH amh serum prolactin hysteroscopy Semen analysis of husband

AS THE FIBROID IS INTRAMURAL.... GO AHEAD FOR PLANNING PREGNANCY....HOWEVER MANAGE HER PROLONGED MENSES WITH CYCLUCAL PROGESTERONE FOR 3 CYCLES.....EVALUATE HER HB, THYROID PROFILE , GET ONE USG DONE .

Okkk usg is already done
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- Laparoscopic Myomectomy - Benefits - No progesterone will help to cure menorrhagia, as here is organic cause for it. - Additional infertility work( diagnostic scopy ) will be in same sitting.

Progesterone for 3 cycles to be given for regularise the period. Fibroid is small and not require much. Being intra mural not disturbing the uterine cavity

Conservative treatment to regularise the m/c & control excessive flow. Novelon/Femilon

Thanks Dr @Vipin Bihari Jain
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NEED'S.. CONSERVATIVE TREATMENT WITH..HORMONAL THERAPY.. WITH EXPERTS OPINION..

Intramural fibroid small one Give progesterone as a hormonal therapy

Observe, can go for HORMONAL THERAPY CYCLICAL

Medical treatment...

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