What conditions are treated with uterine artery embolization?

UAE is effective for symptomatic fibroids causing menorrhagia, pelvic pressure, and urinary symptoms. UAE is not recommended for women desiring future fertility due to potential impact on uterine perfusion. Myomectomy is preferred for fertility preservation.

What medical therapies treat fibroid symptoms?

GnRH agonists (leuprolide) for preoperative shrinkage. GnRH antagonists (elagolix, relugolix) for longer-term symptom control. Progesterone-releasing IUD for menorrhagia. Tranexamic acid and NSAIDs for acute heavy bleeding.

What fibroid size and location determine surgical approach?

FIGO fibroid classification (0-8) based on location: Type 0-2 (submucosal) best treated with hysteroscopic myomectomy. Type 5-7 (subserosal) treated laparoscopically. Type 3-4 (intramural, near endometrium) most likely to affect fertility.

UFS-QOL Uterine Fibroid Symptom Quality of Life Score

Calculate UFS-QOL (Uterine Fibroid Symptom and Quality of Life) questionnaire score for symptomatic uterine fibroids. Symptom severity subscale (8 items) and HRQL subscale (29 items) guide treatment decision between myomectomy, embolization, and medical therapy.

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