Alternatives to excisional therapy: a clinical review of our current options to conservatively manage symptomatic leiomyomas

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Purpose of review

This article provides a clinical review of the alternatives to traditional excisional surgical therapies for uterine leiomyomas, such as myomectomy or hysterectomy.

Recent findings

In this review, currently available hormonal medications will be briefly discussed. Then, nonhormonal medical therapy will be addressed with respect to mechanism of action, safety, and efficacy. Finally, the risk–benefit profile of nonexcisional procedures for management of leiomyomas will be addressed.


This provides an update on the information available for more conservative options for symptomatic leiomyoma management

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