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Fibroids are stimulated by estrogen and can consequently experience rapid growth during pregnancy, though this does not always occur.
The most common sonographic appearance of a fibroid is that of a solid, hypoechoic, myometrial mass.
Fibroids must be differentiated from focal myometrial contraction, which are smooth muscle contraction that can be noted on an ultrasound examination.
Fibroids will consistently alter the shape of the myometrium, while true myometrial contractions
typically disappear within 20-30 minutes.
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