Fibroids by FIGO type and size, scan by scan, with her symptoms, fertility plan and the treatment decision.
A fibroid patient’s scans, symptoms and plans on one record, so the choice between watchful waiting and treatment is made against her own trend and her own fertility goals, not a generic size cut-off. The gynaecologist opens a case with why she came, the causes of abnormal bleeding they found on the PALM-COEIN classification and her fertility plan. Each scan records every fibroid by its label (F1, F2, ...) with its FIGO type (0 to 8, or 2–5) and diameters, so each one’s largest diameter is trended scan by scan. Symptoms are what was measured: pain on the 0–10 scale, blood loss on the PBAC chart where the clinic uses it, haemoglobin, pressure symptoms. Each decision (watchful waiting, medical treatment, hysteroscopic resection, myomectomy, hysterectomy, embolisation, focused ultrasound) is kept with the reason, the review date the gynaecologist sets and, once done, the outcome. PALM-COEIN and the FIGO types are cited (Munro et al., FIGO 2011, revised 2018). An adnexal mass found on ultrasound is scored before the surgical decision: RMI I (U × M × CA-125, Jacobs 1990, scored as NICE CG122 sets it) read against the referral cut-off the clinician names — NICE 250 or more, or SIGN 135 more than 200 — and the IOTA simple rules (Timmerman 2008) from the five B- and five M-features the sonographer ticks; the table holds the arithmetic, so a stored score cannot disagree with its inputs, and the decision (follow-up, gynae-oncology referral, surgery) is recorded once against it.
/fibroidsfibroid.readWhat it does not do, by design. A listing with only benefits is an advertisement.
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