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It is estimated that approximately 25% of women experience symptoms associated with the female reproductive system, including abnormal uterine bleeding, decreased fertility, and pain. These symptoms have many possible etiologies, including leiomyomas, also known as uterine fibroids, which are benign tumors arising from the uterine smooth muscle and connective tissue. Detection and treatment of uterine fibroids can be beneficial for symptom reduction and improved obstetric outcomes. This work highlights a pedunculated subserosal fibroid in a 71-year-old Caucasian woman and explores current screening and diagnostic tools and treatment options. Given the variability in patient age and symptoms at presentation, we will explore how treatment strategies can be individualized to best fit patient needs.