Uterine fibroids are most common benign uterine neoplasm occurring in 20-30% of reproductive age. Generally, the sonographic appearance of leiomyomas is characteristic; however, they can undergo various kind of degenerations that can dramatically change their sonographic appearance and make the diagnosis quite challenging. We hereby describe a case report of 31-year-old women who presented with menorrhagia and dysmenorrhoea and her imaging with an ultrasound revealed an uterine myoma that undergone cystic changes, mimicking myometrial cyst, adenomyosis, hematometra. Laparoscopic myomectomy was done and histopathological examination revealed cystic degeneration of fibroid.