Modern approaches to the treatment of uterine myomes

Abstract

The tactics of treating uterine fibroids and commitment to minimal trauma are widely discussed around the world. This article discusses the most modern surgical and non-surgical methods for treating fibroids, indications and contraindications for their use, immediate and long-term results of treatment, as well as social and psychological consequences for patients.UPA is a unique drug that gives patients an additional choice.
UPA improves menstruation in 90% of women, is well tolerated by patients, and side effects are much less common. Myomectomy is an effective screening method in terms of node removal, elimination of clinical symptoms, and the patient’s ability to become pregnant in the future. It is advisable to perform a laparotomy for the surgical treatment of giant myomas. The advantage of EMA is low morbidity, the effect on multiple nodes, the absence of bleeding, high efficiency, cosmetic effect, a short rehabilitation period and the absence of need for general anesthesia.