Published online by Cambridge University Press: 10 October 2020
Uterine fibroids are the most common benign neoplasms of the female reproductive tract with an estimated incidence of 25–30% at reproductive age [1]. They are detected by ultrasound in about 70–80% of women by the age of menopause [2]. About 30% of fibroids produce symptoms such as abnormal uterine bleeding (AUB) which may result in anaemia, pain or pressure effects on contiguous structures such as urinary incontinence, urinary frequency, urinary outflow obstruction, hydronephrosis, constipation and tenesmus. Fibroids may also be associated with subfertility, and with adverse pregnancy outcomes such as miscarriage and fetal malpresentation [3]. The symptoms associated with fibroids are known to compromise quality of life [3].
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