 The results of our study suggest that self-report of uterine fibroids, UF, is not accurate enough for epidemiological research on UF. Our findings indicate that self-report of UF is less accurate than transvaginal ultrasound, TVUS. Furthermore, self-report of UF underestimated the prevalence of UF by 34.5%. This suggests that self-report may be unreliable for epidemiological research on UF in sub-Saharan Africa, SSA.