If the patient is symptomatic, the myoma should be treated. Medical treatment, such as GnRH analogues, are available. They are effective, causing most myomas to shrink after a few months. Unfortunately, the myomas regain their original size several months after treatment is discontinued. However, recent advances in surgical technology now allow most patients to be treated with new minimally invasive techniques, consisting of laparoscopic myomectomy or laparoscopic hysterectomy.
Laparoscopic surgery is performed via three or four small incisions in the abdomen.
The myomas are then removed through these incisions by first cutting them into small pieces inside the abdomen, then removing each small piece. It is also a good choice for any women desiring children in the future, because it causes less pelvic adhesions. Endometriosis Endometriosis is a disorder in which abnormal growths of tissue, histologically resembling the endometrium, are present in locations other than the uterine cavity. Although endometriosis was described in detail more than 100 years ago, it continues to be one of the unsolved, enigmatic diseases affecting women. The development and extension of endometrial tissue in the uterine muscles is termed adenomyosis.