[Script Info]
Title: 
[Events]
Format: Layer, Start, End, Style, Name, MarginL, MarginR, MarginV, Effect, Text
Dialogue: 0,0:00:03.51,0:00:05.95,Default,,0000,0000,0000,,Myoma is a benign tumor, and usually
Dialogue: 0,0:00:05.95,0:00:10.72,Default,,0000,0000,0000,,50% of the cases it is asymptomatic, or it
Dialogue: 0,0:00:10.72,0:00:14.84,Default,,0000,0000,0000,,does not result in symptoms
Dialogue: 0,0:00:14.84,0:00:18.75,Default,,0000,0000,0000,,but in the rest, 50% result in some symptoms
Dialogue: 0,0:00:18.75,0:00:30.80,Default,,0000,0000,0000,,which may cause a woman to come to the hospital seeking gynecological
Dialogue: 0,0:00:30.80,0:00:35.23,Default,,0000,0000,0000,,solutions for care.
Dialogue: 0,0:00:35.23,0:00:36.73,Default,,0000,0000,0000,,So some of the symptoms which are common
Dialogue: 0,0:00:36.73,0:00:38.04,Default,,0000,0000,0000,,and for which surgery or treatments are indicated
Dialogue: 0,0:00:38.04,0:00:41.32,Default,,0000,0000,0000,,are menhorrhaga or excessive uterine bleeding
Dialogue: 0,0:00:41.32,0:00:44.33,Default,,0000,0000,0000,,persistent pelvic pain
Dialogue: 0,0:00:44.33,0:00:50.17,Default,,0000,0000,0000,,presence of infertility, even though
Dialogue: 0,0:00:50.17,0:00:54.50,Default,,0000,0000,0000,,infertility is related to only 3% of cases of myoma
Dialogue: 0,0:00:54.50,0:00:57.76,Default,,0000,0000,0000,,sometimes it might be indicated for
Dialogue: 0,0:00:57.76,0:01:07.34,Default,,0000,0000,0000,,and other compression symptoms like pressure on the bladder or the rectum or also
Dialogue: 0,0:01:07.34,0:01:10.97,Default,,0000,0000,0000,,as are common symptoms or other complications.
Dialogue: 0,0:01:10.97,0:01:16.48,Default,,0000,0000,0000,,Not all myomas should be treated
Dialogue: 0,0:01:16.48,0:01:18.58,Default,,0000,0000,0000,,All myomas are not to be managed
Dialogue: 0,0:01:18.58,0:01:24.49,Default,,0000,0000,0000,,only if they cause symptoms or complications
Dialogue: 0,0:01:24.49,0:01:28.59,Default,,0000,0000,0000,,for which a woman comes for gynecological care
Dialogue: 0,0:01:28.59,0:01:32.45,Default,,0000,0000,0000,,Generally surgical treatments are indicated for symptomatic myomas
Dialogue: 0,0:01:32.45,0:01:35.70,Default,,0000,0000,0000,,asymptomatic myomas should be managed expectantly
Dialogue: 0,0:01:35.70,0:01:39.10,Default,,0000,0000,0000,,unless they are very large
Dialogue: 0,0:01:39.10,0:01:41.10,Default,,0000,0000,0000,,so the general indications for myomectomy are
Dialogue: 0,0:01:41.10,0:01:45.61,Default,,0000,0000,0000,,myomasses abnormal uterine bleeding
Dialogue: 0,0:01:45.61,0:01:47.72,Default,,0000,0000,0000,,usually menorhhaga
Dialogue: 0,0:01:47.72,0:01:50.22,Default,,0000,0000,0000,,with persistent pelvic pain
Dialogue: 0,0:01:50.22,0:01:54.22,Default,,0000,0000,0000,,ZXOS? which are associated with infertility and big myomas which are bigger than 14 weeks are also indications for surgery