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Case 5

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Question 3 of 3

The treatment of an intramural fibroid with a submucous component resulting in menometrorrhagia and anemia in a woman who wants to reta her uterus can be accomplished through:

a. a GnRH agonist and add back therapy  (review relevant literature)
b. a hysteroscopic resection  (review relevant literature)
c. endometrial ablation  (review relevant literature)

After your evaluation of the literature, and your understanding that the patient wants to retain her uterus for a possible donor egg IVF cycle in the very near future, which procedure would you recommend?

a. a GnRH agonist and add back therapy
b. a hysteroscopic resection
c. endometrial ablation

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