Patient characteristicsTreatment options
Asymptomatic womenClinical surveillance4
Infertile women with distorted uterine cavity (i.e., submucosal fibroids) who desire future fertilityMyomectomy16
Symptomatic women who desire future fertilityMedical treatment or myomectomy 34,38,41
Symptomatic women who do not desire future fertility but wish to preserve the uterusMedical treatment, myomectomy, uterine artery embolization, magnetic resonance–guided focused ultrasound surgery 34,38,40–42
Symptomatic women who want definitive treatment and do not desire future fertilityHysterectomy by least invasive approach possible43,44