2 Indications and current treatments

2 Indications and current treatments

2.1 Uterine leiomyomas (fibroids) are benign tumours of the uterine wall. They can be asymptomatic or cause symptoms including menorrhagia, intermenstrual bleeding, pelvic pressure or pain, and urinary incontinence. They can be associated with subfertility and miscarriage.

2.2 Treatment depends on whether the leiomyomas cause symptoms, and on the woman's desire for future childbearing. For symptomatic leiomyomas, treatment options include hysterectomy, myomectomy, uterine artery embolisation and endometrial ablation techniques. Smaller submucous leiomyomas can be removed by hysteroscopic resection.

  • National Institute for Health and Care Excellence (NICE)