Fibroids uterus also called uterine leiomyoma are the most frequently encountered benign tumours of the uterus. Many fibroids are asymptomatic and are picked up on routine examination. Clinical features depend on number, size and location of the fibroids. Symptomatic fibroids may be managed medically or surgically. Hysterectomy by different routes is the commonest operation performed for fibroid uterus. Hysterectomy may not be the desired where uterus needs to be retained for different reasons.

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... Removal of fibroids called myomectomy followed by reconstruction of uterus is the correct and desired mode of management in such cases. We report one such case where 29 fibroids of varying sizes were removed abdominally and uterus reconstructed in an unmarried girl who conceived spontaneously within one year of surgery after marriage. Vasopressin is effective in reducing the blood loss at the time of myomectomy. Mifepristone is a new mode of treating fibroids medically.