Women who have uterine fibroids are often fearful about what the diagnosis means. Discussing the evidence with them provides reassurance for most.
Clinical signs suspicious for pelvic malignancy are
irregular vaginal bleeding
The incidence of sonographically detected fibroids during pregnancy is low—1.5% in one study
We lack data comparing pregnancy outcomes following myomectomy with pregnancy outcomes in women whose myomas are untreated
Postmenopausal hormone therapy does not usually cause fibroid growth; when it does, the increase in size is likely related to the progestin
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Fibroids’ effect on fertility
OCs, HT: Fuel for fibroid growth?
Dr. Parker is Chair of Obstetrics and Gynecology, Saint John’s Health Center, Santa Monica, Calif, and Clinical Professor of Obstetrics and Gynecology, UCLA School of Medicine, Los Angeles.
The author reports no financial relationships relevant to this article.
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