AAGL Practice Report: Practice Guidelines for the ...

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Special ArticleAAGL Practice report : Practice Guidelines for the Diagnosis andManagement of Submucous LeiomyomasAAGL:ADVANCINGMINIMALLYINVASIV EGYNECOLOGYWORLDWIDEABSTRACTSubmucous leiomyomas or myomas are commonly encountered by gynecologists and specialists in reproductive endocrinol-ogy and infertility with patients presenting with 1 or a combination of symptoms that include heavy menstrual bleeding,infertility, and recurrent pregnancy loss. There exists a variety of interventions that include those performed under hystero-scopic, laparoscopic and laparotomic direction; an evolving spectrum of image guided procedures, and an expanding numberof pharmaceutical agents, each of which has value for the appropriately selected and counseled patient.

and despite the prevalence and clinical impact of these le-sions, there is a dearth of high-quality research available to guide the clinician in the treatment of patients with these

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