For a woman desiring children who has multiple uterine fibroids, what is the most appropriate treatment?

Myomectomy is the most appropriate treatment for a woman desiring children who has multiple uterine fibroids. This surgical procedure involves the removal of the fibroids while preserving the uterus, allowing the woman to maintain her fertility. Myomectomy can help alleviate symptoms caused by the fibroids, such as pain, bleeding, and pressure symptoms, while giving the woman the opportunity to conceive in the future.

Hysterectomy, which involves the removal of the uterus, is not suitable for women who wish to retain their ability to have children. This procedure results in irreversible infertility and is typically reserved for cases where other treatments have failed, or when there are significant health concerns.

GnRH agonists are often used to reduce the size of fibroids temporarily by suppressing estrogen production. While they can be effective in managing symptoms, they are not a permanent solution and do not directly address the fibroids when a woman is planning to conceive.

Oral progesterone may help manage symptoms related to fibroids but does not remove the fibroids or address the underlying issue. It is not a first-line treatment for women seeking to maintain their reproductive capacity. Thus, the most suitable option for a patient wanting to have children is myomectomy, as it directly targets the