Abdominal Myomectomy in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12313
SMLE Question #12313
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 38-year-old nulliparous woman has progressively worsening heavy menstrual bleeding and pelvic pressure. Transvaginal ultrasound shows a 9 cm intramural uterine leiomyoma. She has persistent symptoms despite combined oral contraceptives and desires future fertility. She is scheduled for abdominal myomectomy, and her surgeon wants a short preoperative therapy to reduce uterine volume and intraoperative blood loss. Which medication is most appropriate?
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