Symptoms of myoma and indications for surgery

This is part of a video series within a learning module about myomectomy designed for OBGYN residents at St. Paul Hospital Millennium Medical College. This video features an interview with Dr. Malede Birara, Assistant Professor within the Department of Obstetrics and Gynaecology. The full learning moduled is available at http://open.umich.edu/education/med/oernetwork/med/ob-gyn/myomectomy/2013. The video and learning module are shared under a Creative Commons Attribution Non-Commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/. The video was filmed by Kathleen Omollo from University of Michigan.

Myoma is a benign tumor, and usually

50% of the cases it is asymptomatic, or it

does not result in symptoms

but in the rest, 50% result in some symptoms

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

solutions for care.

So some of the symptoms which are common

and for which surgery or treatments are indicated

are menhorrhaga or excessive uterine bleeding

persistent pelvic pain

presence of infertility, even though

infertility is related to only 3% of cases of myoma

sometimes it might be indicated for

and other compression symptoms like pressure on the bladder or the rectum or also

as are common symptoms or other complications.

Not all myomas should be treated

All myomas are not to be managed

only if they cause symptoms or complications

for which a woman comes for gynecological care

Generally surgical treatments are indicated for symptomatic myomas

asymptomatic myomas should be managed expectantly

unless they are very large

so the general indications for myomectomy are

myomasses abnormal uterine bleeding

usually menorhhaga

with persistent pelvic pain

ZXOS? which are associated with infertility and big myomas which are bigger than 14 weeks are also indications for surgery