Alternative therapies in management of leiomyomas

Magnetic resonance imaging–guided focused ultrasound surgery, cryomyolysis, and transcervical temporary occlusion of the uterine arteries are emerging, minimally invasive options for leiomyomas therapy.

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Authors

Amrita Patel, M.D., Minnie Malik, Ph.D., Joy Britten, M.D., Jeris Cox, M.D., William H. Catherino, M.D., Ph.D.

Volume 102, Issue 3, Pages 649-655

Abstract

Leiomyomas are benign soft-tissue neoplasms that arise from smooth muscle. Relief of symptoms (abnormal uterine bleeding, pain, pressure) is the major goal in management of women with significant symptoms. For symptomatic myomas, hysterectomy is a definitive solution; however, there are emerging less-invasive options. Magnetic resonance imaging–guided focused ultrasound surgery, cryomyolysis, and temporary occlusion of the uterine arteries are treatment options that are minimally invasive interventions with the benefit of preserving the uterus. This review summarizes procedure techniques, eligibility, complications, and outcomes of these alternate therapies.

Read the full text at: http://www.fertstert.org/article/S0015-0282(14)00603-7/fulltext


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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders. The journal publishes juried original scientific articles in clinical and laboratory research relevant to reproductive endocrinology, urology, andrology, physiology, immunology, genetics, contraception, and menopause. Fertility and Sterility® encourages and supports meaningful basic and clinical research, and facilitates and promotes excellence in professional education, in the field of reproductive medicine.

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