Amy Garcia, MD, is Director of the Center for Women’s Surgery and Assistant Professor, Division of Urogynecology, at the University of New Mexico School of Medicine in Albuquerque, NM. She serves on the OBG Management Board of Editors.
The uterine leiomyoma is the most common tumor of the female genital tract. Seventy percent of white women and 80% of black women develop one or more of these tumors by the time they reach 50 years, and the myomas are clinically apparent in 25% of patients. When a fibroid is submucosal, it is often associated with menorrhagia, abnormal uterine bleeding, and infertility.
Dr. Garcia describes ways of classifying the tumor to better predict the blood loss, operative time and morbidity associated with removal.