Ulipristal acetate (UPA) is selective progesterone receptor modulator effective for the treatment of symptomatic uterine fibroids

Randomised clinical trials established its effectiveness in the management of heavy menstrual bleeding due to uterine leiomyomas. The trials did not find any significant evidence of clinical harm to the participants

Recently, however, there have been reports of liver injury necessitating liver transplant in women who have had UPA treatment

This has led to the suspension of UPA as one of the medical therapies in the treatment for uterine fibroids while the European Medicines Agency (EMA) conducts a review of liver injury risk with its use

In this article, we review the rise of UPA as one of the emerging medical therapies for symptomatic uterine fibroids and the subsequent reports of adverse events leading to the suspension of its use