A case report of Intramural myoma expulsion after vaginal delivery

Uterine leiomyomas are the most common benign uterine tumors، which are also reported during pregnancy and labor. Myomectomy is the definitive treatment for this condition; however، this technique is prohibited during pregnancy and is less commonly applied during childbirth. Although several drug therapies are available for the treatment of this condition، none involve the complete removal of myoma. Therefore، in the current study، we present a specific treatment، which resulted in the vaginal expulsion of myoma. Case report: A 25-year-old woman with a previous history of intramural myoma was referred to our center with complaints of vaginal bleeding and reports of a 48×47 cm mass within the uterine cavity two months after cesarean section. The patient was diagnosed with fibroid degeneration and was treated with progesterone and antibiotics; after 17 days، the myoma was expelled from the vagina. Migration of myoma from the uterine wall to the uterine cavity، which leads to the vaginal expulsion of myoma، is possible after treatment with antibiotics and high-dose progesterone (by reducing or cutting off the blood flow to the myoma). Therefore، this treatment can be applied for correctly selected patients.