title: Clinical practice. Uterine fibroids.
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?
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Stewart
mesh_terms: D003278:Contraceptives, Oral, Hormonal / Q000627:therapeutic use*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists; D006801:Humans; D007044:Hysterectomy; D007889:Leiomyoma / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*; D017410:Practice Guidelines as Topic; D011374:Progesterone / Q000037:antagonists & inhibitors; D055357:Uterine Artery Embolization; D063186:Uterine Myomectomy; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000188:drug therapy* / Q000601:surgery*
chemical_list: D003278:Contraceptives, Oral, Hormonal; D007987:Gonadotropin-Releasing Hormone; D011374:Progesterone