WEBVTT 00:00:03.513 --> 00:00:05.947 Myoma is a benign tumor, and usually 00:00:05.947 --> 00:00:10.724 50% of the cases it is asymptomatic, or it 00:00:10.724 --> 00:00:14.835 does not result in symptoms 00:00:14.835 --> 00:00:18.754 but in the rest, 50% result in some symptoms 00:00:18.754 --> 00:00:30.799 which may cause a woman to come to the hospital seeking gynecological 00:00:30.799 --> 00:00:35.229 solutions for care. 00:00:35.229 --> 00:00:36.732 So some of the symptoms which are common 00:00:36.732 --> 00:00:38.039 and for which surgery or treatments are indicated 00:00:38.039 --> 00:00:41.323 are menhorrhaga or excessive uterine bleeding 00:00:41.323 --> 00:00:44.327 persistent pelvic pain 00:00:44.327 --> 00:00:50.167 presence of infertility, even though 00:00:50.167 --> 00:00:54.504 infertility is related to only 3% of cases of myoma 00:00:54.504 --> 00:00:57.758 sometimes it might be indicated for 00:00:57.758 --> 00:01:07.336 and other compression symptoms like pressure on the bladder or the rectum or also 00:01:07.336 --> 00:01:10.973 as are common symptoms or other complications. 00:01:10.973 --> 00:01:16.478 Not all myomas should be treated 00:01:16.478 --> 00:01:18.579 All myomas are not to be managed 00:01:18.579 --> 00:01:24.490 only if they cause symptoms or complications 00:01:24.490 --> 00:01:28.591 for which a woman comes for gynecological care 00:01:28.591 --> 00:01:32.453 Generally surgical treatments are indicated for symptomatic myomas 00:01:32.453 --> 00:01:35.695 asymptomatic myomas should be managed expectantly 00:01:35.695 --> 00:01:39.101 unless they are very large 00:01:39.101 --> 00:01:41.104 so the general indications for myomectomy are 00:01:41.104 --> 00:01:45.607 myomasses abnormal uterine bleeding 00:01:45.607 --> 00:01:47.719 usually menorhhaga 00:01:47.719 --> 00:01:50.223 with persistent pelvic pain 00:01:50.223 --> 00:01:54.223 ZXOS? which are associated with infertility and big myomas which are bigger than 14 weeks are also indications for surgery