Uterine fibroids: Patient-centred management starts with GPs

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In print
Clinical update

Uterine fibroids: Patient-centred management starts with GPs

By Michael Wynn-Williams
Uterus
Fibroids are heterogeneous in their size and location [Image: Colematt on iStock]

This article reviews the diagnosis and treatment of uterine fibroids

Key actions, Women may perceive their fibroids differently and have different treatment expectations. Differential diagnosis of malignancy is essential, particul, Pract Green w Pale Yellow
References

1. Stewart EA, Laughlin-Tommaso SK, Catherino WH, et al. Uterine fibroids. Nat Rev Dis Primers 2016;2:16043.

2. Munro MG, Critchley HO, Broder MS, Fraser IS. FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet 2011;113(1):3–13.

3. Glaser LM, Friedman J, Tsai S, et al. Laparoscopic myomectomy and morcellation: A review of techniques, outcomes, and practice guidelines. Best Pract Res Clin Obstet Gynaecol 2018;46:99–112.

4. Kroon B, Johnson N, Chapman M, et al. Fibroids in infertility--consensus statement from ACCEPT (Australasian CREI Consensus Expert Panel on Trial evidence). Aust N Z J Obstet Gynaecol 2011;51(4):289–95.

5. Metwally M, Raybould G, Cheong YC, Horne AW. Surgical treatment of fibroids for subfertility. Cochrane Database Syst Rev 2020;1(1):CD003857.

Further information: Wynn-Williams M. Uterine fibroids; from effects on fertility to the peri-menopause and beyond. Goodfellow Unit webinar. 19 October 2021.