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  • Leiomyomas (fibroids or myomas) are benign smooth muscle tumours with varying amounts of fibrous tissue and are the most common uterine neoplasm, reported in 20% to 30% of women over 30 years of age.
  • These are usually multiple, causing enlargement of the uterus with a lobular serosal contour and may present with
    • Palpable pelvic mass,
    • Uterine enlargement,
    • Pelvic pain,
    • Anaemia, and
    • Dysfunctional uterine bleeding depending upon their location and size.
  • Types of fibroids depending on the location are:
    • Intracavitary – fibroid located inside the uterine cavity
    • Submucosal – fibroid located just beneath the endometrium.
    • Intramural – fibroid located in the uterine wall.
    • Subserosal – fibroid located on the outer surface of the uterus.
    • Pedunculated – fibroid attached to the uterus with a pedicle.
  • Approximately 5-10% of infertile women have fibroids . Their size and location determines whether fibroids affect fertility like sub mucosal or very large fibroids within the uterine wall.