What is the management strategy for submucous fibroids that allows for the retention of fertility?

The management strategy for submucous fibroids that allows for the retention of fertility is myomectomy. This surgical procedure specifically targets and removes fibroids while preserving the uterus, thereby enabling a woman to maintain her ability to conceive and carry a pregnancy.

Myomectomy is particularly indicated for women who have symptomatic fibroids and wish to retain their reproductive capability. The procedure can be performed through various methods, including abdominal, laparoscopic, or hysteroscopic techniques, depending on the fibroid's size, location, and the patient's condition.

Each of the other options addresses fibroid management but does not allow for the preservation of fertility. Hysterectomy involves the complete removal of the uterus, which eliminates the possibility of future pregnancies. Hormonal therapy may alleviate symptoms associated with fibroids but does not remove them and can delay the resolution of fertility concerns. Transcervical resection is a technique primarily used for intracavitary fibroids but may not be suitable for larger or deeply embedded submucous fibroids, making it less effective in preserving overall reproductive health compared to myomectomy.