An evidence‐based guideline for the management of uterine fibroids

Farquhar, Cindy; Arroll, Bruce; Ekeroma, Alec; Fentiman, Gary; Lethaby, Anne; Rademaker, Lee; Roberts, Helen; Sadler, Lynn; Strid, Judi

doi:10.1111/j.1479-828x.2001.tb01198.x

Cited by 32 publications

(27 citation statements)

References 98 publications

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“…In contrast to Cramer and Patel’s findings, only 49.1% patients had a UL larger than 20 mm. A previous diagnosis of UL had been made in 99 (61.5%) patients, who were in watchful waiting management, which has been considered as a safe management option for asymptomatic UL 27,28. Except in three cases submitted to resectoscopy for treatment of symptomatic submucous myomas, the main component of the leiomyomas was intramural.…”

Section: Discussionmentioning

confidence: 99%

“…The main objective of symptomatic UL treatment is to regress symptomatology, because expectant management is suitable for most asymptomatic leiomyomas 27,28. It is expected that new therapies for the treatment of UL-associated symptomatology will be developed, based on the growing knowledge of functional aspects and regulatory mechanisms of leiomyoma biology and uterine homeostasis.…”

Section: Discussionmentioning

confidence: 99%

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Abnormal uterine bleeding as a presenting symptom is related to multiple uterine leiomyoma: an ultrasound-based study

Fonseca-Moutinho¹,

Barbosa²,

Torres³

2013

IJWH

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PurposeTo determine the prevalence of uterine leiomyomas, diagnosed by ultrasound, in a private health care setting located in the central eastern region of Portugal, and to explore the demographic and clinical factors related to diagnosis and symptomatology.Patients and methodsThe files of 624 patients attending a private clinic in Covilhã, Portugal, from January 2 to December 31, 2010 were retrieved for evaluation. Pelvic ultrasound record, age, weight, height, age at menarche, number of pregnancies and deliveries, marital status, menstrual cycles characteristic, and contraceptive method at consultation were included in the analysis.ResultsUterine leiomyoma (UL) was diagnosed by ultrasonography in 161 (25.8%) patients. A single UL was diagnosed in 80 (49.7%) patients. In 79 (49.1%) patients, the largest leiomyoma had a dimension <20 mm. Prevalence of UL was age dependent: at 11.0% for women 20–39 years old; 45.4% for those aged 40–59 years; and 19.5% for women 60 years or older. Metrorrhagia was the most distressing presenting symptom. When menorrhagia was the presenting symptom, the probability of having an ultrasound diagnosis of UL was 73.3%. Metrorrhagia or menorrhagia, as presenting symptom, was significantly related to the ultrasound diagnosis of multiple ULs.ConclusionUL was especially prevalent in women aged between 40 and 59 years. Patients with multiple ULs had significantly more abnormal uterine bleeding. In patients with menorrhagia or metrorrhagia, special attention should be taken in searching for the presence of multiple ULs during ultrasound.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Abnormal uterine bleeding as a presenting symptom is related to multiple uterine leiomyoma: an ultrasound-based study

Fonseca-Moutinho¹,

Barbosa²,

Torres³

2013

IJWH

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“…Although these studies fell short of proving that submucous myomas cause AUB they suggest that there may be a relationship. The incidence of submucous fibroids in 323 consecutive asymptomatic women undergoing sterilization was reported at 1.8%, whereas in a series of women with abnormal uterine bleeding, submucous fibroids were reported more frequently (6-34%) [19].…”

Section: Menorrhagiamentioning

confidence: 92%

Hysteroscopic Surgery for Submucosal Fibroids

Kalra¹,

Hart²

2017

Fertility-Oriented Female Reproductive Surgery

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“…En effet, une étude rétrospective sur 371 femmes opérées pour un myome rapidement évolutif retrouve un seul sarcome (0,26 %) (NP4) [88]. Les recommandations anglo-saxonnes ne préconisent pas la myomectomie dans cette indication [89][90][91].…”

Section: Place De La Myomectomie En Prévention Du Risque De Léiomyosaunclassified

“…Aucune donnée n'existe actuellement pour recommander une myomectomie par coelioscopie d'un volumineux myome sous-pédiculé en prévention de sa torsion. Les recommandations américaines, canadiennes et néo-zélandaises ne recommandent pas la myomectomie dans cette indication [89][90][91].…”

Section: Place De La Myomectomie En Prévention Du Risque Obstétricalunclassified

Place des myomectomies en situation de conception spontanée ou chez la femme désireuse de préserver sa fertilité

Legendre

Brun

Fernandez

2011

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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An evidence‐based guideline for the management of uterine fibroids

Cited by 32 publications

References 98 publications

Abnormal uterine bleeding as a presenting symptom is related to multiple uterine leiomyoma: an ultrasound-based study

Abnormal uterine bleeding as a presenting symptom is related to multiple uterine leiomyoma: an ultrasound-based study

Hysteroscopic Surgery for Submucosal Fibroids

Place des myomectomies en situation de conception spontanée ou chez la femme désireuse de préserver sa fertilité

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