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Home Management of Uterine Fibroids

Variants

Reproductive age patient with uterine fibroids and concurrent adenomyosis, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms), and no desire for future fertility. Initial therapy.

Documents

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Reproductive age female with uterine fibroids and concurrent adenomyosis, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms), and no desire for future fertility. Initial therapy.

3196894

Medical management

Usually appropriate

Uterine artery embolization

Usually appropriate

Hysterectomy

May be appropriate

MR-guided high-frequency focused ultrasound ablation

Usually not appropriate

Endometrial ablation

Usually not appropriate

Hysteroscopic myomectomy

Usually not appropriate

Laparoscopic or open myomectomy

Usually not appropriate

Laparoscopic uterine artery occlusion

Usually not appropriate