Sucheta, a 29-year-old nulliparous women complains of severe menorrhagia and lower abdominal pain for 3 months. On examination, there was a 14 weeks size uterus with fundal fibroid. The treatment of choice is:: (A) Myomectomy, (B) GnRH analogs, (C) Hystrectomy, (D) Wait and watch
Answer is A. First, let us see whether we would like to go for medical management or surgical intervention.
The patient is presenting with:

Severe menorrhagia
Chronic lower abdomen pain
These indications are strong enough for surgical intervention. Earlier size of fibroid >12 weeks was also an indication for surgery but nowadays it is not.
Now comes the question - whether myomectomy or hysterectomy should be done.

An indication of Myomectomy:

Myomectomy is specifically indicated in an infertile woman or woman desirous of bearing child and wishing to retain her uterus.