Clinical management of leiomyoma

Obstet Gynecol Clin North Am. 2015 Mar;42(1):67-85. doi: 10.1016/j.ogc.2014.09.009. Epub 2014 Dec 5.

Abstract

Uterine leiomyoma, benign monoclonal tumors, afflict an estimated 60% of reproductive-aged women, with higher rates among African American women. Leiomyoma are associated with significant medical costs, impaired fertility potential, obstetric complications, and gynecologic morbidity. Currently, the effective clinical management of leiomyoma is limited by the fact that hysterectomy is the only cure. The purpose of this article is to provide the practitioner with a practical overview of the clinical management of this disease.

Keywords: Clinical management; Fibroids; Leiomyoma; Pathophysiology; Research.

Publication types

  • Review

MeSH terms

  • Adult
  • Embolization, Therapeutic
  • Female
  • Humans
  • Hysterectomy / methods*
  • Infertility, Female / etiology
  • Infertility, Female / therapy*
  • Laparoscopy
  • Leiomyoma / complications
  • Leiomyoma / therapy*
  • Obesity / complications
  • Obesity / prevention & control*
  • Pregnancy
  • Prognosis
  • Uterine Neoplasms / complications
  • Uterine Neoplasms / therapy*