This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: PCOD, hirsutism and galactorrhea, Subject name: Gynaecology & Obstetrics
Surgical treatment for asymptomatic uterine myoma is indicated if 
Select and explain. 
A. If myoma is pedunculated, B. Tumour is larger than size of 3months pregnancy, C. Diagnosis is unceain, D. All the above
D: All the above
Answer: D: All the above 
Explanation: Management of myomas: Asymptomatic : observation with regular follow up Size < 12 weeks Uncomplicated pregnancy with fibroid Surgery: Size > 12weeks Cornual fibroid causing infeility Pedunculated cornual fibroid Pregnancy with torsion of pedunculated fibroid Symptomatic myoma: Medical: Hormones to shrink the fibroid _ surgery unterine aery embolization Myomectomy Lap myomectomy Lap myolysis MRI guided ablation Total / sub total abdominal hysterectomy Vaginal hysterectomy Total laproscopic hysterectomy Lap hysterectomy Lap assisted vaginal hysterectomy Cervical (1%): Vaginal polypectomy Myomectomy Lap myomectomy MRI guided myolysis Vaginal hysterectomy Total abdominal hysterectomy Ref Shaw 16th edition pg 409