TREATMENT OF UTERINE MYOMAS

Uterine myomas are frequent tumors, but only some of them need to be t reated: only when they are symptomatic. After describing the role of o estrogen and growth factors on the development, and the value of clini cal examination and imaging techniques (ultrasonography, outpatient hy steroscopy without anesthesia), the authors study the various treatmen ts. Medical treatments essentially consist of progesterone and preoper ative GnRH agonists or in peri-menopause (add-back therapy). When if m edical treatment fails, surgery consists of: myomectomy and hysterecto my (by abdominal, laparoscopic or vaginal routes), myolysis and hyster oscopic resection. Three cases are isolated: infertility, pregnancy an d menopause associated with uterine myomata.