Abstract
A 47-year-old black woman has heavy menstrual bleeding and iron-deficiency anemia.She reports nocturia and urinary frequency. A colonoscopy is negative. Ultrasonography shows a modestly enlarged uterus with three uterine fibroids. She is not planning to become pregnant. How should this case be evaluated and managed?
MeSH terms
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Contraceptives, Oral, Hormonal / therapeutic use*
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Female
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Gonadotropin-Releasing Hormone / agonists
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Humans
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Hysterectomy*
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Leiomyoma / diagnosis
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Leiomyoma / drug therapy*
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Leiomyoma / surgery*
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Practice Guidelines as Topic
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Progesterone / antagonists & inhibitors
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Uterine Artery Embolization*
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Uterine Myomectomy*
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Uterine Neoplasms / diagnosis
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Uterine Neoplasms / drug therapy*
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Uterine Neoplasms / surgery*
Substances
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Contraceptives, Oral, Hormonal
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Gonadotropin-Releasing Hormone
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Progesterone