Fibroid Uterus

A 42-year-old nulliparous woman with known uterine fibroids presents with infertility of 3 years. Hysterosalpingography shows a normal cavity and patent tubes. She desires fertility preservation. Which investigation is most appropriate to determine if the fibroid is responsible for infertility and to guide treatment?

A 38-year-old woman with symptomatic uterine fibroids (heavy menstrual bleeding and dysmenorrhea) desires uterine-sparing treatment before considering hysterectomy. She has no contraindications to hormonal therapy. What is the drug of choice for medical management of her fibroids?

A 42-year-old woman with multiple uterine fibroids and menorrhagia is not a surgical candidate due to severe comorbidities. She requires long-term medical management (>6 months) to control symptoms and avoid transfusion. Which drug is preferred for prolonged use in this scenario?

A 38-year-old nulliparous woman undergoes hysterectomy for symptomatic uterine fibroids. Histopathological examination is performed. Which is the most common histological pattern seen in uterine leiomyomas?

A 38-year-old woman with multiple uterine fibroids presents for counselling on management options. Regarding the pathophysiology and characteristics of uterine fibroids, all of the following statements are correct EXCEPT: