13. LEIOMYOMA History -Most are asymptomatic Symptoms depends on size, location, pregnancy, sarcomatous degeneration (0.1 to 0.5%) Abnormal uterine bleeding; most common -Menorrhagia, metrorrhagia Dysmenorrhea is not a typical feature Pain: Vascular compromise, torsion, infection Large fibroids can put pressure on the rectum causing constipation. Fever, spontaneous abortion, infertility