Interactive Session - Uterine Fibroids—Which Treatment for Which Patients?

Date:October 21, 2014

Time:1:15 pm - 2:15 pm

Location:HCC317 - Hawaii Convention Center


Shannon Laughlin-Tommaso, M.D. (Chair), Mayo Clinic

Maureen Kohi, M.D., University of California, San Francisco

(Roving Microphone)

Needs Assessment and Description
One in four women will have symptoms of fibroids. While fibroids have been the leading cause of hysterectomy, there are now many alternatives. This session for clinicians and allied health care professionals will discuss how to determine the best alternatives for clinical cases of uterine fibroids. 

Learning Objectives
At the conclusion of this session, participants should be able to: 

  1. Evaluate the suitability of fibroid therapies based on symptoms and size and location of fibroids. 
  2. Discuss the known effects of fibroid therapies on fertility and ovarian hormones. 
ACGME Competency
Patient Care 

A 35-year-old woman (gravida 2, para 2) presents with heavy menstrual bleeding and pelvic discomfort. An ultrasound reveals a 6-cm fundal uterine fibroid that abuts the endometrium. She is considering a third child. After participating in this session, in my practice I will recommend the following for this patient:
a. Focused ultrasound ablation
b. Uterine artery embolization
c. Oral contraceptive pills
d. Hysterectomy
e. Not applicable to my area of practice


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