Submitted by Jeffrey Lake on Tue, 01/10/2017 - 3:31pm Which of the following is your specialty? * OBGYN Family medicine Other (please specify) Which of the following is your specialty? Other (please specify) How many patients with uterine fibroids do you see per month (on average): * Less than 10 10 - 30 31 - 50 More than 50 On average, >75% of patients in your practice are diagnosed with uterine fibroids within: * 1 year of experiencing symptoms 2 years of experiencing symptoms 3 years of experiencing symptoms 5 years of experiencing symptoms Which of the following are FDA-approved treatments for uterine fibroids: * Lupron Ulipristal acetate Trexaminic acid A and B A, B, and C A and C Please rate your degree of familiarity with ulipristal acetate treatment for uterine fibroids: * Not at all familiar Somewhat familiar Very familiar Extremely familiar Of your patients with uterine fibroids, how many in the past year have used at least one course of ulipristal acetate? * None Less than 25% 26% - 50% 51% - 75% More than 75% Don’t know For your patients with uterine fibroids, which of the following is the most common reason for considering hysterectomy? * Patient preference Extensive disease that is not amenable to other treatments Not aware of the availability of oral agents for the treatment of uterine fibroids Not convinced of the efficacy of oral agents for the treatment of uterine fibroids Other, please specify For your patients with uterine fibroids, which of the following is the most common reason for considering hysterectomy? Other, please specify Please rate your degree of confidence in educating your patients with uterine fibroids about the disease and available treatment options? * Not at all confident Somewhat confident Very confident Extremely confident Which of the following best describes your current approach to uterine fibroids: * I initiate the discussion about uterine fibroids and their potential effects with all women I initiate the discussion about uterine fibroids and their potential effects in women experiencing abnormal bleeding I initiate the discussion about uterine fibroids and their potential effects in women experiencing difficulty in conceiving I do not initiate the discussion about uterine fibroids, but if a patient brings it up, I discuss it then Other, please specify Which of the following best describes your current approach to uterine fibroids: Other, please specify In women with uterine fibroids do you assess their knowledge and understanding of the disease and its treatment options? * Yes No If you are interested in participating in the raffle for a $100/€100 Amazon gift card, please fill out the following: First Name: Last Name: Email: Leave this field blank
