临床实践。子宫肌瘤。

N Engl J Med. 2015 Apr 23;372(17):1646-55. doi: 10.1056/NEJMcp1411029.

A 47-year-old black woman has heavy menstrual bleeding and iron-deficiency anemia.She reports nocturia and urinary frequency. A colonoscopy is negative. Ultrasonography shows a modestly enlarged uterus with three uterine fibroids. She is not planning to become pregnant. How should this case be evaluated and managed?

一位 47 岁的黑人女性月经过多且伴有缺铁性贫血。她自诉夜间多尿和尿频。结肠镜检查结果为阴性。超声检查显示子宫适度增大，有三个子宫肌瘤。她暂无妊娠计划。应该如何评估和处理这个病例？