Part 1: Advising your patients — Uterine fibroids: Childbearing, cancer, and hormone effects

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May 2008 · Vol. 20, No. 05

PART 1: Advising your patients Uterine fibroids: Childbearing, cancer, and hormone effects

Women who have uterine fibroids are often fearful about what the diagnosis means. Discussing the evidence with them provides reassurance for most.

Fast Track

Clinical signs suspicious for pelvic malignancy are

older age
abdominal pain
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

IN THIS ARTICLE

Fibroids’ effect on fertility
OCs, HT: Fuel for fibroid growth?

William H. Parker, MD

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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