The clinical symptoms and the appearance of fibroids
depend on their position, size, and number. The symptoms are usually
most pronounced when the fibroids are submucosal or prolapse into
the endometrial canal. Pain and vaginal bleeding are then common,
often occurring irregularly and unrelated to the menstrual cycles.
The role of uterine leiomyomas as causative factor of sterility
is controversial. Submucosal myomas, in particular, can interfere
with fertility and be associated to obstetric complications as
abruption of placenta, post-partum metrorrhagia and puerperal
With Doppler ultrasonography : Polyps typically contained a single
feeding vessel, whereas fibroids had several vessels, which arose
from the inner myometrium.
* Endometrial Carcinoma
* 1: Fleischer AC, Shappell HW. Color Doppler sonohysterography
of endometrial polyps and submucosal fibroids. J Ultrasound Med.
* 2: Yu KJ, Lai CR, Sheu MH. Spontaneous expulsion of a uterine
submucosal leiomyoma after administration of a gonadotropin-releasing
hormone agonist. Eur J Obstet Gynecol Reprod Biol. 2001 Jun;96(2):223-5.
* 3: Caruso A, Caforio L, Testa AC, Pomini F, Ciampelli M, Mancuso
S. Conventional ultrasonography and color Doppler velocimetry
of uterine leiomyomas. Rays. 1998 Oct-Dec;23(4):649-54. English,