Management of leiomyomas: is there a panacea in Pandora’s box?

New procedures and medications continue to be developed for the treatment of women with uterine leiomyomas; however, most are not adequately evaluated, and none is applicable in all circumstances. Appropriate management of uterine leiomyomas should be individualized, considering the related symptoms, as well as the number, size, and location of the tumors and the patient’s desire regarding uterine conservation.