Important considerations for women in the late reproductive and perimenopausal years desiring myomectomy.
Curr Opin Obstet Gynecol 2019;
31:285-291. [PMID:
31022080 DOI:
10.1097/gco.0000000000000551]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE OF REVIEW
To review important considerations in the counseling and management of women over the age of 40 desiring a myomectomy for symptomatic fibroids.
RECENT FINDINGS
Women in the late reproductive and perimenopausal years may choose a myomectomy over a hysterectomy for reasons of fertility preservation or a personal desire to retain their uterus. Data suggest that laparoscopic myomectomy is a low-risk procedure that can be offered to older women, though the age-related risk of uterine malignancy must be evaluated.
SUMMARY
When assessing the surgical candidacy of older women desiring myomectomy, it is important to weigh a woman's fertility potential, surgical risk, and concerns about malignancy with her desire to preserve the uterus and autonomy to choose a procedure type.
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