Bassols Dorr Guillermo

Many forms of treatment exist, among which we may mention:

• Medical treatment. Substances exist that are able to reduce the size of myomas and the bleeding they cause: these are called GnRH agonists. Their administration produces a temporary menopause whose duration is as long as the effect of these substances last.
• Surgical treatment. Intracavitary and submucous myomas (which are found in the uterine cavity) can be removed by resection through the vagina: this is hysteroscopic resection of the myomas. Intramural myomas (in the lining of the uterus) can be removed by abdominal surgery: this procedure is known as myomectomy, either by open procedures or by laparoscopic techniques. They can also be destroyed by the application of laparoscopic laser or by electrocoagulation: this technique is known as myolisis. Uterineartery embolization, when indicated, would be the least aggressive technique in comparison with surgical techniques. Finally, the only solution is sometimes the extirpation of the uterus itself: this procedure is known as hysterectomy.