Uterine fibroids: Investigation and current management trends.

BACKGROUND: Uterine leiomyomas, or fibroids, represent a large proportion of gynaecological presentations in both general and specialist gynaecology practice. The diagnosis is relatively simple with current imaging modalities. The management of fibroids, however, is not always straightforward and can present many challenges.

OBJECTIVE: This article reviews current approaches to the management of uterine fibroids, including novel techniques, and highlights important patient counselling points.

DISCUSSION: Many fibroids cause debilitating symptoms that greatly affect a woman's quality of life. Traditional surgical treatment options include myomectomy and hysterectomy. Minimally invasive surgical and radiological techniques, as well as symptomatic treatment, including the use of hormonal medication, intrauterine devices, and endometrial ablation, have become increasingly popular treatment choices. While these treatments are associated with reduced perioperative morbidity and shorter hospital stays, patients should be carefully counselled regarding the risks and the benefits. General practitioners may often help to initiate discussions to assist women considering their management options.