Obstetrics, gynecology and reproductive medicine guidelines

Gynecology

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Uterine fibroids

 

Canada

• Canadian Agency for Drugs and Technologies in Health
  • Uterine-Preserving Interventions for the Management of Symptomatic Uterine Fibroids: A Systematic Review of Clinical and Cost-Effectiveness [2016]
  • Ulipristal Acetate (Fibristal) (5 mg Tablets): Treatment of Moderate to Severe Signs and Symptoms of Uterine Fibroids in Adult Women of Reproductive Age Who are Eligible for Surgery. The Duration of Treatment is Limited to Three Months [2013]

• Health Quality Ontario
  • Magnetic Resonance–Guided High-Intensity Focused Ultrasound (MRgHIFU) Treatment of Symptomatic Uterine Fibroids: An Evidence-Based Analysis [2015]
  • Magnetic Resonance-Guided High-Intensity Focused Ultrasound (MRgHIFU) for Treatment of Symptomatic Uterine Fibroids: An Economic Analysis [2015]

Cochrane

• Cochrane Library
  • Uterine artery embolization for symptomatic uterine fibroids
  • Surgical treatment of fibroids for subfertility
  • Selective progesterone receptor modulators (SPRMs) for uterine fibroids
  • Selective estrogen receptor modulators (SERMs) for uterine leiomyomas
  • Progestogens or progestogen-releasing intrauterine systems for uterine fibroids
  • Preoperative medical therapy before surgery for uterine fibroids
  • Minimally invasive surgical techniques versus open myomectomy for uterine fibroids
  • Mifepristone for uterine fibroids
  • Interventions to reduce haemorrhage during myomectomy for fibroids
  • Herbal preparations for uterine fibroids
  • Danazol for uterine fibroids
  • Aromatase inhibitors for uterine fibroids
  • Add-back therapy with GnRH analogues for uterine fibroids
  • Acupuncture for uterine fibroids

Europe

• European Menopause and Andropause Society
  • EMAS position statement: Management of uterine fibroids [2014]

Germany, Switzerland, Austria

• RöFo
  • Uterine Artery Embolization (UAE) for Fibroid Treatment--Results of the 5th Radiological Gynecological Expert Meeting [2015]
  • Magnetic resonance guided focused ultrasound for fibroid treatment--results of the second radiological gynecological expert meeting [2015]

Low-resource settings

• Obstetrics and Gynecology International
  • Myomectomy during Caesarean Birth in Fibroid-Endemic, Low-Resource Settings [2013]

United Kingdom

• Healthcare Improvement Scotland
  • Magnetic resonance guided focused ultrasound surgery (MRgFUS) for the treatment of uterine fibroids: evidence note 55 [2015]

• National Institute for Health and Care Excellence
  • Hysteroscopic morcellation of uterine leiomyomas (fibroids) [2015]
  • Magnetic resonance image-guided transcutaneous focused ultrasound for uterine fibroids [2011]
  • Uterine artery embolisation for fibroids [2010]

• Royal College of Obstetricians and Gynaecologists
  • Esmya (ulipristal acetate) - MHRA safety alert [2018]
  • Uterine Artery Embolisation in the Management of Fibroids [2013]

United States of America

• American College of Radiology
  • Radiologic Management of Uterine Leiomyomas

• American Journal of Obstetrics & Gynecology
  • The Estimated Annual Cost of Uterine Leiomyomata in the United States [2012]

• American Society for Reproductive Medicine
  • Removal of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline [2017]
  • Myomas
  • Fibroids or Myomas

• National Guideline Clearinghouse
  • Removal of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline. American Society for Reproductive Medicine [2017]
  • ACR Appropriateness Criteria® radiologic management of uterine leiomyomas [2012]

Articles in journals

• Australian Family Physician
  • Uterine fibroids: Investigation and current management trends [2016]

• PLoS ONE
  • Medical Therapies for Uterine Fibroids – A Systematic Review and Network Meta-Analysis of Randomised Controlled Trials [2016]

{Related topics}

• Guidelines
  • Miscarriage
  • Gynecologic ultrasound
  • Gynecologic surgery
  • Dysmenorrhea, chronic pelvic pain
  • Abnormal uterine bleeding, menorrhagia