Treatment for leiomyomas depends on several factors, including the severity of symptoms, size and location of the fibroids, and the patient's desire for future fertility. Treatment options range from watchful waiting to medical and surgical interventions. Medications can help manage symptoms and shrink fibroids, while surgical options include myomectomy and hysterectomy. Minimally invasive procedures like uterine artery embolization and MRI-guided focused ultrasound are also available.