A pregnant female with 16 week AOG presented with bleeding. Upon USG Fibroid detected. Management:: (A) Conservative management, (B) Laparoscopic myomectomy, (C) Curettage, (D) Hysterectomy
Answer is A. Ans. (a) Conservative managementRef : Shaws 15th ed. /364; William Obstetrics 23rd ed. Ch 40* Uterine leiomyomas (fibroids) are common benign smooth muscle tumors. Their incidence during pregnancy is probably about 2 percent and depends on population characteristics and the frequency of routine sonography.* Treatment of symptomatic myomas consists of analgesia and observation. Most often, signs and symptoms abate within a few days, but inflammation may stimulate labor.* Surgery is rarely necessary during pregnancy.