[CG] Uterine fibroids, management of

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Abstract

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Uterine fibroids (leiomyomas) are common benign tumours found in 25% of women of reproductive age. They may be associated with heavy menstrual bleeding (HMB), pelvic pressure symptoms, subfertility and pregnancy problems.

The malignant potential of fibroids is extremely low (<1%) with leiomyosarcomas typically occuring in women above the age of 60years.

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Last reviewed: 01 November 2020

Next review: 31 December 2022

Author(s): Dr Aradhana Khaund, Consultant Gynaecologist

Version: 3

Approved By: Dr R Jamieson, Clinical Director

Document Id: 512

References

1. National institute for Health and Care Excellence. Heavy Menstrual Bleeding. (CG44) London: National Institute for Health and Care Excellence; 2007.

2. Donnez J, Donnez O, Matule D, et al. Long-term management of uterine fibroids with ulipristal acetate. Fertil Steril 2016;105, issue 1:165-173

3. Royal College of Obstetricians & Gynaecologists. Clinical recommendations on the use of uterine artery embolisation (UAE) in the management of fibroids. Third edition. London. 2013