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Abnormal uterine bleeding - anemia, unresponsive to hormonal
management
Chronic pain with severe dysmenorrhea, dyspareunia, or lower
abdominal pressure or pain
Acute pain, as in torsion of a pedunculated leiomyoma, or prolapsing
submucosal broid
Urinary symptoms or signs such as hydronephrosis after complete
evaluation
Infertility, with leiomyomas as the only abnormal nding
Markedly enlarged uterine size with compression symptoms or
discomfort.
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