ACR AC Portal

Home Management of Uterine Fibroids

Variants

Reproductive age patient with uterine fibroids, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms), and a desire to preserve fertility. Initial therapy.

Documents

Narrative
Evidence Table
Lit Search
Appendix

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Reproductive age female with uterine fibroids (leiomyomas), symptomatic with heavy uterine bleeding or bulk symptoms (e.g., pressure, pain, fullness, bladder or bowel symptoms), and a desire to preserve fertility. Initial therapy.

3196890

Hysteroscopic myomectomy

Usually appropriate

Laparoscopic or open myomectomy

Usually appropriate

Medical management

Usually appropriate

MR-guided high-frequency focused ultrasound ablation

Usually appropriate

Uterine artery embolization

Usually appropriate

Laparoscopic uterine artery occlusion

Usually not appropriate

Endometrial ablation

Usually not appropriate

Hysterectomy

Usually not appropriate