What is the recommended frequency for monitoring uterine leiomyomas (fibroids) with transvaginal ultrasound?

From the Research

Monitoring Uterine Leiomyomas with Transvaginal Ultrasound

The recommended frequency for monitoring uterine leiomyomas (fibroids) with transvaginal ultrasound is not explicitly stated in the provided studies. However, the studies suggest that:

• Transvaginal ultrasound is a useful tool for diagnosing and monitoring uterine fibroids 1
• The size and location of the fibroid can affect symptoms and treatment options 2, 1
• Fibroid growth can be monitored over time using transvaginal ultrasound, with smaller fibroids tend to grow more rapidly than larger ones 3

Factors to Consider

When considering the frequency of monitoring uterine leiomyomas with transvaginal ultrasound, the following factors should be taken into account:

• Symptom severity and impact on quality of life 2, 4
• Fibroid size and location 2, 1
• Patient age and reproductive goals 2, 3
• Presence of co-existing conditions, such as adenomyosis or endometrial polyps 1

Available Data

While there is no specific recommendation for the frequency of monitoring uterine leiomyomas with transvaginal ultrasound, the available data suggest that:

• Regular monitoring may be necessary to assess fibroid growth and symptom progression 3
• Transvaginal ultrasound can be used to monitor fibroid size and location over time 1
• Other imaging modalities, such as MRI, may be used in conjunction with transvaginal ultrasound to guide treatment decisions 5