The assessment and management of uterine fibroids in primary care

Working party—Gray, Connolly, Ma, Manzo, Webb

Within the UK, 20–40% of women aged over 40 years have a uterine fibroid. Many women are unaware that they have fibroids as they do not have any symptoms. Fibroids, therefore, may be found incidentally or during investigations in women with pain and/or bleeding problems and those under investigation for infertility.

This Guidelines summary provides recommendations on how to assess a woman’s risk, initiate medical management in low-risk patients, and understand the relevance of ultrasound findings so as to avoid unnecessary referrals and subsequent anxiety. It also includes the characteristics of drugs used to treat uterine fibroids and includes a primary care pathway algorithm.

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