Spotting. Itching. Tenderness. When below-the-belt symptoms crop up, your first impulse is probably to slip into a pair of pajamas and curl up on
the couch. Holing away for a night or two is fine, but what if your symptoms last for weeks or even months?

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The American College of Obstetricians and Gynecologists Practice Bulletin:
Alternatives to Hysterectomy in the Management of Leiomyomas
Stewart, Elizabeth MD, ACOG Committee on Practice Bulletins. AMERICAN COLLEGE OF OBSTETRICIANS
AND GYNECOLOGISTS. 2008 Vol. 112, No. 2, Part 1, pp 387‐400.

Summary
Uterine Leiomyomas (also known as fibroids) are the most common solid pelvic tumors in women and
the leading indication for hysterectomy. While many women have no symptoms and do not require
treatment, some require more active measures. Hysterectomy remains the most common surgical
treatment for leiomyomas because it is the only definitive treatment and does not allow recurrence.
Many women seek an alternative to hysterectomy because they desire future childbearing or wish to
retain their uteri even if done with childbearing. As alternatives to hysterectomy become more
available, it is important to evaluate the efficacies and risks of these treatments. This bulletin reviews
literature about alternatives to hysterectomy and offers treatment recommendations.

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