- Benign uterine growths may be sub-serous, interstitial, or submucous.
- They occur commonly in the age group about 30 years and above and are associated with nulliparity, low parity, sub-fertility, and infertility.
- The condition presents with features of mass in the lower abdomen or dysmenorrhoea or heavy periods.
- Vaginal examination reveals a mass that is firm, nodular, and non-tender and moves with the cervix. Diagnosis is essentially clinical.
- Haemoglobin, VDRL, blood group, blood urea, urinalysis
- IVU in selected cases
- Hysterosalpingography in subfertile and infertility cases
- Ultrasound where facilities exist.
- Treat associated pelvic inflammatory disease: Antibiotics – amoxicillin/clavulanate 625mg BD for 7 days OR doxycycline 100mg BD for 7 days + metronidazole 400mg TDS for 7 days. NSAIDs –ibuprofen 400mg TDS for 3 days.
- Correct any anaemia associated with menorrhagia by haematinics (ferrous sulphate 200mg TDS and folic acid 5mg OD for 1 month) or blood transfusion.
- Where fertility is desired, plan myomectomy and where obstetric career is complete, plan hysterectomy with conservation of 1 ovary in women under 45
years of age.