Uterine Fibroids

Interested in participating in a Uterine Fibroids study?

Fill out the form below to see if you qualify.

    First Name*

    Last Name*

    Email*

    Phone Number*


    Have you been diagnosed with Uterine Fibroids?
    YesNoNot sure


    When were you diagnosed?


    ​Do you experience heavy menstrual bleeding?
    YesNo


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