Nonsurgical Management of Uterine Fibroids

摘要

Uterine leiomyomas, commonly referred to as fibroids, are benign smooth muscle tumors that have an estimated prevalence of 20% to 40% in women of reproductive age. They are often asymptomatic, making their true prevalence difficult to determine, but they are clinically significant in approximately one-third of those affected. Fibroids are the leading indication for hysterectomy in the United States, resulting in approximately one-third of hysterectomies. Symptoms vary depending on the size, location, and number of myomas as well as the patient's age. The most common symptoms associated with myomas are pelvic pressure and abnormal uterine bleeding. Treatment of uterine fibroids varies widely and is based on symptoms.