ABSTRACT
Careful evaluation should be undertaken to ensure that the presence of symptoms is related to the presence of myomas. Associated symptoms may include abnormal uterine bleeding, dyspareunia, bloating, infertility, pelvic pain or pressure, and urinary symptoms. Some women with myomas may have menorrhagia, and etiologic theories include venous ectasia resulting from mechanical compression of veins by myomas, or storage of vasoactive growth factors produced by myomas (1,2). The presence of myomas does not necessarily lead to menorrhagia, and other possible etiologies should be considered, including coagulopathies such as von Willebrandt’s disease (3).
