Submucosal and intramural types of fibroids usually present as menorrhagia. Subserous type often presents with torsion.

Pregnancy with fibroids does carry increased risk for preterm labor and fetal malpresentation.

About one third of fibroids recur following myomectomy.

Asymptomatic in > 50% of cases

Bleeding +/- anemia—one third of cases present with bleeding. Bleeding is usually menorrhagia, caused by:

■ Abnormal blood supply

■ Pressure ulceration

■ Abnormal endometrial covering Pain—secondary dysmenorrhea Pelvic pressure


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