LETTERS

Additional treatment for uterine fibroids offered

I read with interest “Abnormal uterine bleeding: a quick guide to evaluation and treatment” [April] by Linda Bradley, MD. However, I noted that she failed to mention the use of myolysis as a technique for treating uterine fibroids in patients who no longer desire fertility.

I have been using this procedure for 11 years and am convinced that myolysis should be practiced with increasing frequency in cases of moderate-sized fibroids, with or without the use of endometrial ablation or hysteroscopic resection. It is a disservice to patients not to include this procedure when discussing treatment options for fibroids.