Q:

A 37 year old woman presents with heavy bleeding. Investigation show subserosal fibroid 4cm and intramural fibroid 6cm. Which is the most appropriate treatment?

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A 37 year old woman presents with heavy bleeding. Investigation show subserosal fibroid 4cm and intramural fibroid 6cm. Which is the most appropriate treatment?


  1. UAE
  2. Abdominal hysterectomy
  3. Hysteroscopic Myomectomy
  4. Vaginal Hysterectomy
  5. Abdominal myomectomy

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The key is E. Abdominal myomectomy. [As patient is young we should go for myomectomy. As hysteroscopic myomectomy is suitable for mainly submucosal fibroids. We should go for Abdominal myomectomy which will deal with both subserosal and intramural fibroids].

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