Uterine leiomyoma in the reproductive period. A treatment strategy
Objective. Development and improvement of the principles of treating patients of reproductive age with uterine leiomyoma who are planning a pregnancy. The authors offer a system of treatment for female patients of reproductive age who are planning to become pregnant. A detailed analysis of the methods of surgical and pharmaceutical management is offered, and practical guidelines are given depending on the type of leiomyoma in accordance with the FIGO classification (2011). Indications and conditions for surgical treatment are described in detail, the role and clinical significance of ulipristal acetate (UPA, Esmya) in a comprehensive treatment of these patients have been determined. As has been shown, a combination of operative treatment and UPA makes it possible to minimise trauma and thus to improve reproductive outcomes.