However, the overexpression of growth factors and their receptors, such as the type I insulin-like growth factor (IGF-I) and IGF-I receptor (IGF-IR), shows that sex steroids are not the only modulators of leiomyoma cell proliferation and exuberant extracellular matrix formation observed in many fibroids [2, 7–9]. This evidence concerns the gene IGF1 and leiomyoma.