子宫肌瘤药物治疗

目前尚无治疗子宫肌瘤的有效药物。促性腺激素释放激素激动剂(GnRHa)能改善术前贫血症状，但费用高并可导致低雌激素状态。芳香化酶抑制剂和选择性雌激素受体调节剂(SERM)在绝经后有症状的子宫肌瘤治疗中有效。使用米非司酮治疗，闭经率高，副反应小。左炔诺孕酮宫内节育系统(LNG IUS)可治疗子宫肌瘤合并月经过多。

Medical therapy for uterine leiomyoma

There is no effective medical therapy to date. GnRHa are useful pre operatively. Aromatase inhibitors and SERM may be useful in postmenopausal woman with symptomatic myoma. Low dose mifepristone is a relatively cheap drug with minimal side effects. The use of Levonorgestrel releasing intrauterine system has been shown to reduce menstrual blood loss with idiopathic menorrhagia or menorrhagia due to leiomyomas.