8 Months Of Progressively in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17554
SMLE Question #17554
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 35-year-old G2P2 woman presents with 8 months of progressively heavy, regular menstrual bleeding and fatigue. Pelvic ultrasound shows a 6.5-cm intramural uterine leiomyoma distorting the endometrial cavity. She has no intermenstrual bleeding and wishes to preserve fertility. What is the most appropriate next step in management?
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