Leiomyomas of the uterus are benign tumours that occurs due to overgrowth of smooth muscle and connective tissue present in the uterus. A clinical study of 50 cases of fibroid uterus was made in the Sambhram Medical College and Research Institute, from January 2018 to June 2018. The cases are selected by random allocation. In the present study, leiomyomas are most commonly seen in the women of child bearing age, most commonly occurring in the 3rd decade. Menstrual disturbances were seen in 71% of cases, Dysmenorrhea was seen in 22% of the cases. White discharge per vaginum was seen in 10 % of the cases. Pain abdomen was seen in 40% of the cases. Presence of a mass was complained in 23% of the cases.Urinaryproblemswerenoticedin25%ofthecases and infertility in 25% of cases.Intramural fibroid were the commonest variety comprising about 66% of the cases, 10% submucous, and 8% cervical. The present study shows, proliferative endometrial in 55% of cases, secretary changes were noted in 20%, atrophic endometrial occurred in 15%.