Final answer:
Uterine fibroids in the lower uterine segment can be managed with watchful waiting or surgical options like a myomectomy, especially if they contribute to infertility issues. Hormonal treatments are less directly related to fibroids and more often used for ovulation problems that can lead to multiple pregnancies with associated risks.
Step-by-step explanation:
Managing a uterine fibroid found in the lower uterine segment depends on several factors, including the size and symptoms of the fibroid, as well as the patient's overall health and reproductive plans. Treatment options may range from watchful waiting in asymptomatic cases to surgical intervention. Surgery to remove the fibroid, known as a myomectomy, is commonly recommended if the fibroid causes significant symptoms or if it is potentially affecting fertility. Hormonal treatments are used primarily for ovulation problems and are less likely to be directly involved in the management of fibroids. However, they may play a role in the overall treatment strategy by helping to regulate menstrual cycles or reduce fibroid growth.
Treating Female Infertility
If the fibroid is implicated in infertility, surgical options to remove the fibroid can improve the chances of conception. It's important to consider the potential risks associated with hormonal treatments for inducing ovulation, as they can lead to multiple pregnancies, which carry a higher risk for the mother and the babies. Health professionals must weigh the benefits and risks of all treatments with their patients.