DOI: https://doi.org/10.36347/sjmcr.2025.v13i01.017

Pages: 82-86

This case report details the effective surgical management of a 24-year-old woman presenting with a large intramural fibroid and an ovarian cystic tumor, with an emphasis on fertility preservation. The patient, experiencing clinical symptoms, underwent a myomectomy and unilateral oophorectomy after a thorough preoperative assessment. A Pfannenstiel incision was utilized under spinal anesthesia to ensure optimal surgical access and complete excision of the pathologies while preserving reproductive structures—postoperative care involved close monitoring and supportive therapies, with hormonal assessments confirming normal endocrine function, and treatment for adenomyosis, right hydrosalpinx, and pelvic fluid. In 2020, additional treatments addressed acyclic bleeding and a myoma. Follow-up imaging showed a normalized uterine cavity, and the patient's menstrual cycle resumed within three months. Remarkably, she achieved natural conception eight months after getting married and delivered a healthy, full-term infant. This case highlights the importance of meticulous surgical planning, precise execution, and comprehensive postoperative follow-up in achieving favorable fertility outcomes in complex gynecological cases.