Pelvic mass

Question 1

How do you investigate fibroids?

Answer 1

Ultrasound (smooth echogenic mass)

MRI for precise location eg surgery

Question 2

What are the treatment options for fibroids?

Answer 2

Conservative 
Hysterectomy 
Myomectomy 
Uterine artery embolisation 
Hysteroscpic resection 
GNRH analogiues can be given to reduce size prior to surgery but should not be used for longer than 6 months due to osteoprosis risk