Important considerations for women in the late reproductive and perimenopausal years desiring myomectomy

Kristen Pepin, Himabindu Reddy, Nisse V. Clark

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of reviewTo review important considerations in the counseling and management of women over the age of 40 desiring myomectomy for symptomati fibroids.Recent findingsWomen in the late reproductive and perimenopausal years may choose myomectomy over hysterectomy for reasons of fertility preservation or personal desire to retain their uterus. Data suggest that laparoscopi myomectomy is low-risk procedure that can be offered to older women, though the age-related risk of uterine malignancy must be evaluated.SummaryWhen assessing the surgical candidacy of older women desiring myomectomy, it is important to weigh woman's fertility potential, surgical risk, and concerns about malignancy with her desire to preserve the uterus and autonomy to choose procedure type.

Original languageEnglish (US)
Pages (from-to)285-291
Number of pages7
JournalCurrent Opinion in Obstetrics and Gynecology
Volume31
Issue number4
DOIs
StatePublished - Aug 1 2019
Externally publishedYes

Keywords

  • hysterectomy
  • myomectomy
  • perimenopause

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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