Fibroid Quiz Input for Candidacy | Fibroid Institute Texas

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Want to treat your fibroids without surgery?

See if you are a candidate.
Take the 30-second quiz.
Get immediate results. Schedule your consult.

"*" indicates required fields

Do you have a fibroid diagnosis?*

Doctors usually diagnose fibroids with a physical exam and confirm with ultrasound or MRI.

Yes

No

Unsure

Are you pregnant?*

If you are pregnant, avoid procedures involving the uterus until after pregnancy is complete.

No

Yes

Unsure

Do you experience any of these symptoms?*

These are the common most fibroid symptoms.

Painful or heavy menstrual bleeding

Spotting between periods

Pelvic pain, bloating or pressure

Frequent urination, incontinence

Constipation

Pain during intercourse

I don’t have these symptoms

Have you gone through menopause?*

Unsure

No

Yes

Do you want to avoid surgery?*

Unsure

No

Yes

Do you want to keep your uterus?*

Unsure

Yes

No

Quiz completed!

Please provide more information so we can send your results. Your data is private. We do not share data or sell lists.

Name*

First Last

Email*

Phone*

Region*

Dallas area

Houston area

Outside of Texas

Message (optional)

Comments

This field is for validation purposes and should be left unchanged.

71923

*This quiz does NOT constitute medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare professional regarding any particular medical condition, treatment, or procedure.

Dallas 214-377-0220

Houston 713-360-0248

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Want to treat your fibroids without surgery?

See if you are a candidate. Take the 30-second quiz. Get immediate results. Schedule your consult.

Quiz completed!

See if you are a candidate.
Take the 30-second quiz.
Get immediate results. Schedule your consult.