Sucheta, a 29-year-old nulliparous women complains of severe menorrhagia and lower abdominal pain for 3 months. On examination, there was a 14 weeks size uterus with fundal fibroid. The treatment of choice is:

First, let us see whether we would like to go for medical management or surgical intervention. The patient is presenting with: Severe menorrhagia Chronic lower abdomen pain These indications are strong enough for surgical intervention. Earlier size of fibroid >12 weeks was also an indication for surgery but nowadays it is not. Now comes the question - whether myomectomy or hysterectomy should be done. An indication of Myomectomy: Myomectomy is specifically indicated in an infertile woman or woman desirous of bearing child and wishing to retain her uterus.