When Hysteroscopy Isn’t an Option: Laparoscopic Management of a Symptomatic Submucosal Fibroid

The management of symptomatic uterine fibroids depends on various factors, including patient preferences and individual considerations. The management options are multimodal, including medical and surgical therapies. In this report, we present the case of a 33-year-old female patient with submucosal uterine fibroids managed through laparoscopic myomectomy, chosen over hysteroscopic myomectomy based on the patient's specific preferences and clinical indications. Submucosal fibroids are preferably managed hysteroscopically, while subserosal and large submucosal fibroids are managed laparoscopically. However, to preserve our patient's virginity and respect her cultural preferences, laparoscopy was used to retrieve the submucosal fibroids. The outcome of the surgery was similar to that of the hysteroscopic approach, with no associated postsurgical complications and a full resolution of the symptoms after follow-up.