ABSTRACT
Though a common condition, fibroid uterus deserves counseling and consent in detail as age, presence of single or multiple, and fertility status all determine the treatment suggested and planned. Since more than one treatment option can be offered in any given situation, it is important to give all information to the woman and then take an informed consent regarding the plan of management. Fibroid and its implication in reproduction will always be uppermost in the woman’s mind and should be addressed with the available data regarding the impact of fibroids on fertility and subsequent pregnancy. Observation or intervention is an important decision to be taken when the woman’s fibroids are diagnosed. If a decision for intervention is taken, then the type of procedure, route of surgical intervention, and postoperative implications should all be clearly counseled in the discussion. The chance of diagnosing an unsuspected malignancy or leiomyosarcoma in the specimen should be discussed.
