[Treatment of uterine fibromas]

Uterine myomas are frequent tumors, but only some of them need to be treated: only when they are symptomatic. After describing the role of oestrogen and growth factors on the development, and the value of clinical examination and imaging techniques (ultrasonography, outpatient hysteroscopy without anesthesia), the authors study the various treatments. Medical treatments essentially consist of progesterone and preoperative GnRH agonists or in peri-menopause (add-back therapy). When if medical treatment fails, surgery consists of: myomectomy and hysterectomy (by abdominal, laparoscopic or vaginal routes), myolysis and hysteroscopic resection. Three cases are isolated: infertility, pregnancy and menopause associated with uterine myomata.