On bimanual exam you palpate smooth

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A 31 year old nulliparous woman presents to clinic c/o heavy menstrual cycles. On bimanual exam you palpate a smooth, well defined tumor on the fundus of the uterus that is approximately the size of softball. The patient states she was aware of the tumor and was put on OCPs in the past without a notable improvement in symptoms. You counsel the patient on treatment options and recommend:

• a hysterectomy • a myomectomy • hormone replacement therapy • uterine artery embolization treatment

Reference no: EM133791039

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