TREATMENT PLAN, COMPLICATIONS, KEY INFORMATION & EXTRA’S
TREATMENT PLAN
Refer to gynaecology if:
- Increasing size
- No regression post-menopause
- Size increase >3cm
- Refractory symptoms
- Fertility issues
- Obstetric complications
- Diagnostic uncertainty
Suspected submucosal fibroid
COMPLICATIONS
- Iron deficiency anaemia
- Subfertility/infertility (particularly with submucosal)
- Obstetric complications, including miscarriage
- Torsion (pedunculated fibroids)
KEY INFORMATION
- Submucosal fibroids require referral.
- Associated with heavy bleeding, painful periods and fertility issues – Usually found incidentally on examination/ultrasound.
EXTRA’S
- Regular monitoring is required for size changes.
- Consider the impact on quality of life.