Clinical practice. Uterine fibroids.

Elizabeth A Stewart

Journal: The New England journal of medicine 2015;372(17):1646-55

PMID: 25901428

Abstract

A 47-year-old black woman has heavy menstrual bleeding and iron-deficiency anemia.She reports nocturia and urinary frequency. A colonoscopy is negative. Ultrasonography shows a modestly enlarged uterus with three uterine fibroids. She is not planning to become pregnant. How should this case be evaluated and managed?

DOI: 10.1056/NEJMcp1411029

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MeSH Terms: Contraceptives, Oral, Hormonal, Female, Gonadotropin-Releasing Hormone, Humans, Hysterectomy, Leiomyoma, Practice Guidelines as Topic, Progesterone, Uterine Artery Embolization, Uterine Myomectomy, Uterine Neoplasms