0:00:03.513,0:00:05.947
Myoma is a benign tumor, and usually

0:00:05.947,0:00:10.724
50% of the cases it is asymptomatic, or it

0:00:10.724,0:00:14.835
does not result in symptoms

0:00:14.835,0:00:18.754
but in the rest, 50% result in some symptoms

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which may cause a woman to come to the hospital seeking gynecological

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solutions for care.

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So some of the symptoms which are common

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and for which surgery or treatments are indicated

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are menhorrhaga or excessive uterine bleeding

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persistent pelvic pain

0:00:44.327,0:00:50.167
presence of infertility, even though

0:00:50.167,0:00:54.504
infertility is related to only 3% of cases of myoma

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sometimes it might be indicated for

0:00:57.758,0:01:07.336
and other compression symptoms like pressure on the bladder or the rectum or also

0:01:07.336,0:01:10.973
as are common symptoms or other complications.

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Not all myomas should be treated

0:01:16.478,0:01:18.579
All myomas are not to be managed

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only if they cause symptoms or complications

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for which a woman comes for gynecological care

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Generally surgical treatments are indicated for symptomatic myomas

0:01:32.453,0:01:35.695
asymptomatic myomas should be managed expectantly

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unless they are very large

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so the general indications for myomectomy are

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myomasses abnormal uterine bleeding

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usually menorhhaga

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with persistent pelvic pain

0:01:50.223,0:01:54.223
ZXOS? which are associated with infertility and big myomas which are bigger than 14 weeks are also indications for surgery