The evaluation of uterine fibroids begins with a history and physical exam, including a pelvic exam.

Physical findings in a woman with uterine fibroids may include:

• Vaginal bleeding
• Enlarged uterus during pelvic exam
• Lower abdominal tenderness

Tests that may be used to evaluate uterine fibroids include:

• Uterine biopsy
• PAP smear
• Pelvic ultrasound
• CT scan of the pelvis
• MRI scan of the pelvis

Less commonly performed tests that may be used to evaluate uterine fibroids include:

• Pelvic angiogram
• Laparoscopy