What is a potential indication for a myomectomy procedure?

A myomectomy is a surgical procedure specifically indicated for the removal of uterine fibroids, which are benign tumors that develop within the wall of the uterus. These fibroids can lead to a variety of symptoms, including heavy menstrual bleeding, pelvic pain, and pressure effects on surrounding organs. By performing a myomectomy, the goal is to alleviate these symptoms while preserving the uterus, which is particularly important for women who wish to maintain their fertility.

The other choices mention conditions that are not directly treated by a myomectomy. Gastrointestinal obstruction typically requires procedures that address the underlying cause of the obstruction, such as adhesions or tumors in the gastrointestinal tract. Ovarian cysts are usually managed through different approaches, depending on their size and symptoms, often with monitoring or possibly laparoscopic surgery. Endometriosis involves the presence of endometrial tissue outside the uterus and is generally managed through medical therapies or excisional surgery targeting the endometrial lesions, rather than a myomectomy, which is focused specifically on fibroids. Thus, the primary correct indication for myomectomy remains the presence of uterine fibroids.