A 32-year-old woman with infertility is found to have a 5 cm submucosal leiomyoma distorting the endometrial cavity. The most appropriate surgical management to improve fertility is:

• A Total abdominal hysterectomy
• B MRI-guided focused ultrasound
• C Uterine artery embolization
• D Myomectomy via hysteroscopy ✓

Explanation

Submucosal fibroids impair fertility by distorting the endometrial cavity. Hysteroscopic myomectomy is the standard surgical treatment for submucosal leiomyomas to restore cavity anatomy and improve reproductive outcomes. Hysterectomy eliminates fertility. Uterine artery embolization and focused ultrasound are not recommended for women desiring future fertility.

Reference: Te Linde's Operative Gynecology, 12th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.