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Ramdin and Wani: Save the uterus! Case of large fibroid with infertility30 MOGS Chronicles | Volume 1 | Issue 1 | September 2024%u00a9 The Author(s). 2024 Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/ zero/1.0/) applies to the data made available in this article, unless otherwise stated.Editor%u2019s NoteLarge symptomatic fibroids in reproductive age women pose a significant challenge in management. subserosal This case highlights the dilema faced in balancing the need for effective treatment while preserving reproductive potential. The thorough pre-operative assessment and joint decision with the patient and family is essential in tailoring the best approach to surgical intervention. Fibroid mapping preoperatively with a 2D or 3D ultrasound preoperatively can help plan the surgery. Utilizing advanced techniques, such as vasopressin infiltration and meticulous dissection, the surgical team, helps to minimize blood loss and optimize patient outcomes. Preoperatively GnRh can help reduce the size of the fibroid.How to cite this article: Ramdin K, Wani R. Save the Uterus! (Case of Large Fibroid with Infertility). MOGS Chronicles 2024;1(1):28-30.DisclosureNone.Informed consentInformed consent was taken from the patient.References1. Giuliani E, As-Sanie S, Marsh EE. Epidemiology and management of uterine fibroids. Int J Gynaecol Obstet 2020;149:3-9.2. Mici%u0107 J, Macura M, Andji%u0107 M, Ivanovi%u0107 K, Dotli%u0107 J, Mici%u0107 DD, et al. Currently available treatment modalities for uterine fibroids. Medicina 2024b;60:868.3. Cianci S, Gulino FA, Palmara V, La Verde M, Ronsini C, Romeo P, et al. Exploring surgical strategies for uterine fibroid treatment: Acomprehensive review of literature on open and minimally invasive approaches. Medicina 2023;60:64.4. Angioni S, D%u2019Alterio MN, Daniilidis A. Highlights on medical treatment of uterine fibroids. Curr Pharm Des 2021;27:3821-32.5. Peng Y, Cheng J, Zang C, Chen X, Wang J. Comparison of laparoscopic myomectomy with and without uterine artery occlusion in treatment of symptomatic multiple myomas. Int J Gen Med 2021;14:1719-25.