Michels KA, Hartmann KE, Archer KR, Ye F, Velez Edwards DR. The Relationship between Total Fibroid Burden and First Trimester Bleeding and Pain. Paediatric and perinatal epidemiology. 2016 Mar;30(30). 115-23. PMID: 26525634 [PubMed] PMCID: PMC4749406 NIHMSID: NIHMS734523.
Few studies comment on the association between fibroids and symptoms among pregnant women. These studies generally are retrospective and do not to assess the influence of number of tumours or their volume on risk of symptoms.