Clinical practice. Uterine fibroids.

Stewart, Elizabeth A · N Engl J Med · 2015

review · Level V

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Abstract

A 47-year-old black woman has heavy menstrual bleeding and iron-deficiency anemia.She reports nocturia and urinary frequency. A colonoscopy is negative. Ultrasonography shows a modestly enlarged uterus with three uterine fibroids. She is not planning to become pregnant. How should this case be evaluated and managed?

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