Introduction: Uterine fibroids are the most common benign tumours of the female reproductive tract and have impact on quality of life in women with multiple & severe symptoms and affect the daily activities. Woman with abnormal uterine bleeding related to fibroids can persist during the perimenopausal age and after the menopause. It has been estimated that about half of all hysterectomies in industrialized countries today are for the treatment of symptomatic fibroids. Methods: This was a prospective hospital based observational study. Inclusion criteria: 1. Women beyond 45 years of age.2.Symptomatic women with uterine fibroids. Exclusion criteria: 1.Women with medical problems such as Diabetes, hypertension, thyroid dysfunction, heart disease2.Women with genital tract malignancy.3.Coagulative disorders. The main outcome measures were socio-demographic data, clinical features, histopathological findings, type of hysterectomy and postoperative follow up. Results: In the present study Out of 200 women with fibroid uterus presenting to gynaecology department 155(77.5 %) were multiparous. The mean age was 46 years. Themost common presenting complaint was heavy menstrual bleeding in 128(64%), abdominal mass 72 (36%) pain abdomen 67(33.5%) women followed by frequent cycles 36(18%).Abdominal hysterectomy constitutes about 67%.Majority of the fibroids were intramural and submucosal fibroids. Conclusion: Women with fibroid uterus with severe symptoms like heavy menstrual bleeding, mass per abdomen with pressure symptoms require treatment, majority were presented to hospital late so they need surgical intervention like hysterectomy. Early screening, identification appropriate and relevant treatment with medical and minimal invasive surgeries will reduce morbidity and improve quality of life.