Received January 31, 2021
Accepted August 01, 2021

Submucous myomas have negatively effects on fertility. To maintain fertility, conservative treatment should be suggested to women who wish to become pregnant, especially for young patients. The patient was a 33-year-old woman. She had secondary infertility for 3 years. In vaginal ultrasound, a submucous myoma measuring 26 mm ˟ 31 mm with a compressive effect on the anterior surface endometrium, was observed. Ovarian reserve was low. The gold standard of myoma treatment is surgical intervention. But, for the following reasons: the adverse effects of surgery on the endometrium (intrauterine adhesion), the patient's refusal to undergo a myomectomy and her request for pregnancy, our strategy for treating was to reduce volume of submucous myoma and start the assisted reproductive techniques (ART) cycle, simultaneously. We administered three courses of Gonadotropin-releasing hormone analogues (GnRHa) and then induced controlled ovarian hyperstimulation. Ovum pick up was done. Finally, we transferred two embryos (4 and 6 cells). In subsequent patient visits, βhCG was positive after 14 days. At the last patient visit, the heart of the embryo is formed. From this finding, it may be concluded that combined GnRHa and ART is the treatment of choice for infertile women with uterine submucous myoma, considering the reduced ovarian reserve and response.