Uterine fibroids. Diagnosis and indications for treatment

Although uterine myomas are extremely common, the majority are asymptomatic and therefore require no treatment. Pelvic ultrasound, hysteroscopy, and infrequently MR imaging are useful in the confirmation of this diagnosis especially when long-term expectant management is to be used. Many indicators previously recommended for treatment are empiric in nature and have been discarded in modern times. Current standards dictate that prophylactic intervention seldom is warranted.