An internet survey was conducted using case studies to examine gynecologists' views on the medical or surgical management of symptomatic fibroids. The survey found that the indications for conservative treatments included a woman's wish to retain her fertility. A third of gynecologists would prescribe a medical treatment, a third would begin with a medical treatment and proceed thereafter to surgery and a fifth would resort immediately to surgery. Selective progesterone receptor modulators are increasingly used in symptomatic cases.