Bilateral Uterine Artery Occlusion During Laparoscopic Myomectomy

This study is comparing two approaches during laparoscopic fibroid removal (myomectomy): one approach blocks both uterine arteries temporarily to reduce blood loss, and one does not. Researchers want to find out if blocking the uterine arteries during the procedure leads to better outcomes, less bleeding, and good recovery. **You may be eligible if:** - You are a woman with uterine fibroids causing problems such as heavy periods, infertility, or pressure on the bladder or bowel - Your fibroids are between 3 and 10 cm in size - You have no more than 3 fibroids - You are a suitable candidate for laparoscopic (keyhole) surgery **You may NOT be eligible if:** - You have a BMI over 30 - You have had previous abdominal surgery involving a midline incision - You have had prior ovarian surgery - You have been on hormonal treatment within the past 3 months - You have 4 or more fibroids, adenomyosis, or previously recurring fibroids after myomectomy - Imaging suggests the possibility of cancer in the fibroids - You have submucosal fibroids requiring a different procedure (hysteroscopic surgery) Talk to your doctor to see if this trial is right for you.