ACR AC Portal

Home Management of Uterine Fibroids

Variants

Postmenopausal patient with uterine fibroids, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms). Negative endometrial biopsy. Next step.

Documents

Narrative
Evidence Table
Lit Search
Appendix

Scenario

Scenario ID

Procedure

Adult RRL

Peds RRL

Appropriateness Category

Postmenopausal female with uterine fibroids, symptomatic with heavy uterine bleeding or bulk symptoms (eg, pressure, pain, fullness, bladder, or bowel symptoms). Negative endometrial biopsy. Next step.

3196898

Hysterectomy

Usually appropriate

Laparoscopic or open myomectomy

May be appropriate

Uterine artery embolization

May be appropriate

Hysteroscopic myomectomy

May be appropriate

MR-guided high-frequency focused ultrasound ablation

Usually not appropriate

Endometrial ablation

Usually not appropriate

Laparoscopic uterine artery occlusion

Usually not appropriate

Medical management

Usually not appropriate