Uterine fibroids are the most common gynaecological tumours found in women. These tumours are said to be present in 80% of Caucasian women and are more common in women of African origin. In 50% of women with fibroids, symptoms usually occur, leading to complications from the presence of these fibroids. Although they are mainly a problem in the reproductive years, there are reports of problems from fibroids in postmenopausal women. The management of patients with fibroids can also cause complications for the patient, and, as a result, careful evaluation of patients must be done to decide on the correct treatment option for a particular patient. The focus of this special issue is to highlight the complications which are caused by fibroids and also those which can arise as a result of the treatment options available. This is intended to assist clinicians and their patients in making informed decisions about the management of this common problem. The potential topics to be covered include, but are not limited to:

• Common symptoms and their management (pain, compression, and hemorrhage)
• Hematological complications (anaemia, polycythemia, thrombocytosis and thromboembolism) Pregnancy-related complications (infertility, spontaneous abortion, and red degeneration)
• Sarcomatous change
• Surgical complications (laparoscopy versus hysterectomy, haemorrhage, and adhesions)
• Myomectomy versus hysterectomy (vasopressin use versus tourniquet)
• Hysteroscopic complications
• Uterine artery embolisation complications

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