32-year-old woman

14-week size fibroid uterus desiring fertility.


Symptoms

  • Heavy menses
  • Increased urinary frequency
  • Dyspareunia (painful intercourse)
  • Infertility

Ultrasound

  • Uterus with multiple fibroids distorting endometrial cavity.

Examination

  • 14 week size fibroid uterus

Recommendations

  • Expectant management (no treatment) or myomectomy.

Treatment

  • Patient underwent uncomplicated myomectomy via mini-lap incision. Multiple fibroids removed to debulk uterus. Minimal blood loss. Patient discharged on post-op day #1.