OBGYN q-n - jamie

[ArchivalUser]

26 yo nullipara just married and wants to have children.She has severe menorrhagia. on exam u find that her uterus completely deformed by fibroids and uterus felt under umbilicus and her Hb decreased to 8gm%. WOF u recommend:
1.Total Hysterectomy
2 Open myomectomy after controlling her anemia with
Blood Transfusion
3.Prescribe Iron tablets
4.GnRH agonists and then open myomectomy
5.Do a transcervical myomectomy

[ArchivalUser]

2???

[ArchivalUser]

i think its 4

[ArchivalUser]

3 /I think to control anemia is more important in this moment

[ArchivalUser]

2.