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Benefits, Harms, and Costs: The majority of fibroids are. asymptomatic and require no intervention or further. investigations. For symptomatic fibroids such as those causing. menstrual abnormalities (e .g . heavy, irregular, and prolonged. uterine bleeding), iron defficiency anemia, or bulk symptoms. (e .g ., pelvic pressure/pain, obstructive symptoms), hysterectomy. is a definitive solution. However, it is not the preferred solution.
Other sonographic characteristics commonly associated with endometriomas include: 1  Round, homogenous fluid-filled mass. 2  Mainly low-level echoes but mixed with some anechoic and/or echogenic loci. 3  Grainy, dark gray appearance. 4  Thickened cyst wall (>5 mm) 5  Irregular cyst wall (nodular, lobulated, not uniform, etc) 6  Fibrotic tissue.