Figure 2

General treatment algorithm and distribution of recommendations. General treatment algorithm for women presenting to the comprehensive fibroid center and the distribution of recommendations made based on patients’ symptoms and MRI findings. Asterisk denotes nonfibroid conditions existing concurrently with fibroids: adenomyosis (n = 13), ovarian cyst endometrioma (n = 2), endometrial polyp (n = 3). Section sign denotes that one patient had urinary retention; the other patient had imaging findings that did not correspond to the patient’s pelvic pain. Dagger denotes that hysterosonogram was recommended to evaluate for a possible endometrial polyp. Recommendations to be evaluated at the fibroid center were made when feasible for the patient.