Current opinion in obstetrics & gynecology · 2018
Alternatives to excisional therapy: a clinical review of our current options to conservatively manage symptomatic leiomyomas.
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Ito Traci, Mattingly Patricia J, Jan Ambareen G, Biscette Shan M, Kim Jin Hee J
Аннотация
PURPOSE OF REVIEW: This article provides a clinical review of the alternatives to traditional excisional surgical therapies for uterine leiomyomas, such as myomectomy or hysterectomy.
RECENT FINDINGS: In this review, currently available hormonal medications will be briefly discussed. Then, nonhormonal medical therapy will be addressed with respect to mechanism of action, safety, and efficacy. Finally, the risk-benefit profile of nonexcisional procedures for management of leiomyomas will be addressed.
SUMMARY: This provides an update on the information available for more conservative options for symptomatic leiomyoma management.
RECENT FINDINGS: In this review, currently available hormonal medications will be briefly discussed. Then, nonhormonal medical therapy will be addressed with respect to mechanism of action, safety, and efficacy. Finally, the risk-benefit profile of nonexcisional procedures for management of leiomyomas will be addressed.
SUMMARY: This provides an update on the information available for more conservative options for symptomatic leiomyoma management.