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Leiomyomas, also known as uterine fibroids, are benign tumors that develop from the smooth muscle walls of the uterus. They are most common in women of African descent and those who haven't had children, typically appearing between ages 30 and 45. While they usually regress after menopause, they don't disappear entirely. Symptoms vary based on size and location but often include excessive menstrual bleeding, uterine pain, and a feeling of pressure. Fibroids can sometimes contribute to infertility. Diagnosis involves pelvic exams, confirmed by ultrasound or hysteroscopy. Small, asymptomatic fibroids require no treatment, while larger ones may be managed with hormone therapy, surgical tumor removal (myomectomy), or uterus removal (hysterectomy).12

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