Uterine Fibroids (also known as leiomyomas or myomas) are the maximum not unusual  form of benign uterine tumors. Clinical displays encompass bizarre bleeding, pelvic loads, pelvic ache, infertility, bulk signs, and obstetric headaches. Cutting edge control strategies in particular contain surgical interventions, however the choice of remedy is guided with the aid of patient's age and desire to hold fertility or keep away  from “radical” surgical procedure together with hysterectomy. The control of uterine fibroids additionally depends on the wide variety, size, and area of the fibroids. different surgical and nonsurgical approaches encompass myomectomy via hysteroscopy, myomectomy by laparotomy or laparoscopy, uterine artery embolization, and interventions   completed beneath radiologic or ultrasound steering to induce thermal ablation of the uterine fibroids. There is growing evidence of the critical  position of progesterone pathways in the  pathophysiology of uterine fibroids, main to the use of selective progesterone receptor modulators (SPRMs) including ulipristal acetate (UPA). The efficacy of long-time period intermittent use of UPA changed into proven by way of randomized managed research. The want for options to surgical intervention could be very actual, in particular for girls  searching for to preserve their fertility. those alternatives now exist, with SPRMs which can  be confirmed to treat fibroid signs and symptoms successfully. Gynecologists now have new   tools in their armamentarium, commencing up novel strategies for the management of uterine  fibroids.