Patient characteristicsTreatment options
Asymptomatic womenObservation
Symptomatic women who desire fertility preservationNonsurgical treatment or myomectomy
Symptomatic women who do not desire future fertility but wish to preserve the uterusNonsurgical treatment or myomectomy, myolysis, or uterine artery embolization
Women who desire fertility preservation and have had a pregnancy complicated by uterine fibroid tumorsMyomectomy
Infertile women with distortion of uterine cavityMyomectomy
Women with severe symptoms who desire definitive treatmentHysterectomy