Uterine leiomyoma is one of the most common gynaecologic benign tumours, but its genetic basis remains largely unknown. Six previous GWAS identified 33 genetic factors in total. Here, we performed a two-staged GWAS using 13,746 cases and 70,316 controls from the Japanese population, followed by a replication analysis using 3,483 cases and 4,795 controls. The analysis identified 9 significant loci, including a novel locus on 12q23.2 (rs17033114, P = 6.12 × 10 −25 with an OR of 1.177 (1.141-1.213), LINC00485). Subgroup analysis indicated that 5 loci (3q26.2, 5p15.33, 10q24.33, 11p15.5, 13q14.11) exhibited a statistically significant effect among multiple leiomyomas, and 2 loci (3q26.2, 10q24.33) exhibited a significant effect among submucous leiomyomas. Pleiotropic analysis indicated that all 9 loci were associated with at least one proliferative disease, suggesting the role of these loci in the common neoplastic pathway. Furthermore, the risk T allele of rs2251795 (3q26.2) was associated with longer telomere length in both normal and tumour tissues. Our findings elucidated the significance of genetic factors in the pathogenesis of leiomyoma. Uterine leiomyoma is one of the most common gynaecologic benign tumours. Its estimated lifetime risk is 30-50% in Japan 1 and 70-80% in European populations 2,3. Although leiomyoma is a benign neoplasm, patients exhibit many types of symptoms, such as vaginal bleeding, pelvic pain, or infertility 4. Over 600,000 hysterectomies were performed per year in the USA due to leiomyomas, and 9.4 billion dollars for annual medical expenses were needed in the USA 5. Therefore, leiomyomas are gaining much attention in health economics. Leiomyoma growth is stimulated by sex steroids, such as oestrogen and progesterone, and several aetiological factors, such as age, early age at menarche, obesity, and parity, are linked to an increased leiomyoma risk 2,6-11. In