Modern management of fibroids

Uterine fibroids are present in approximately 20% of women of reproductive age and can be associated with significant morbidity including menstrual disturbance, pressure symptoms and in some cases reduced reproductive potential. Although some women remain asymptomatic any of the above presentations may be an indication for treatment. Many management options exist including conservative, treatment with medications, radiological interventions and surgery. Interventions can be fertility sparing whereas some are contraceptive, whilst others can result in permanent infertility. Ultimately optimal management should be governed by presenting symptoms, size and location of fibroids, as well as the desire for fertility and local expertise.