Reproductive Age Group - Uterine Masses
Symptoms
Rectosigmoid compression, with constipation or intestinal obstruction
Prolapse of a pedunculated submucous tumor
Venous stasis of the lower extremities and possible thrombophlebitis
secondary to pelvic compression
Polycythemia
Ascites
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Reproductive Age Group - Uterine Masses
Management of Leiomyomas
Nonsurgical Management
Intervention is reserved for speci c indications and symptoms.
Periodic examinations
GnRH agonists
Nonsurgical Management Judicious patient observation and follow-up
are indicated primarily for uterine leiomyomas; intervention is reserved
for speci c indications and symptoms.
Periodic examinations are indicated to ensure that the tumors are not
growing rapidly.
Uterine size should be recorded on the patient's chart, and the location
of palpable and ultrasonographically localized leiomyomas should be
described and diagrammed.
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