Table 2:
Treatment Strategies for Symptomatic Uterine Fibroids
Treatment Strategya | First Line | Second Line | Third Line | ||
---|---|---|---|---|---|
Recurrence | Failure | Recurrence | Failure | ||
1 | MRgHIFU | MRgHIFU | UAE | Hysterectomy | N/A |
2 | UAE | UAE | Myomectomy | Hysterectomy | N/A |
3 | Myomectomy | Myomectomy | Hysterectomy | Hysterectomy | N/A |
4 | Hysterectomy | N/A | N/A | N/A | N/A |
Abbreviations: MRgHIFU, magnetic resonance-guided high-intensity focused ultrasound; N/A, not applicable; UAE, uterine artery embolization.
In the case of hysterectomy, no further treatment strategy is considered, as underlying cause of bleeding is assumed to be eliminated.