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Intramural leiomyoma of the uterus is a benign (non-cancerous) fibroid tumor that grows within the muscular wall of the uterus, making it the most common type of uterine fibroid. These growths can vary in size and may not cause symptoms when small, but larger intramural fibroids can lead to pelvic pain, heavy or prolonged menstrual bleeding, pressure on the bladder or bowels, and sometimes fertility challenges. Diagnosis typically involves a pelvic exam and imaging tests. Treatment options range from monitoring mild cases to minimally invasive procedures like uterine fibroid embolization, which shrinks fibroids by blocking their blood supply, to surgical approaches depending on symptoms, size, and reproductive plans.

