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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.
Uterine leiomyomas (fibroids or myomas) are benign tumors. Since histologic confirmation of the clinical diagnosis is not necessary in most cases, and there is both growth and regression of fibroids, asymptomatic uterine leiomyomas can usually be followed without intervention [1].