Modern Myoma Treatment in the Last 20 Years: A Review of the Literature

Table 5

Treatment options, myoma counseling cascade.

	Diagnostic evaluation: rule out submucous fibroid or nonmyoma diagnosis
	Do nothing: watchful waiting
	Only treat symptoms: bleeding, pain
	Hormonal treatment: oral contraceptive pill, focus on bleeding
	Hormonal treatment: ulipristal acetate
	Fibroid embolization: radiology
	HIFU treatment: radiology
	Laparoscopic evaluation and surgical treatment
	Laparoscopic evaluation and hysterectomy