Uterine Fibroids Multiple

A 38-year-old para 2 woman presents with heavy menstrual bleeding for 18 months, menorrhagia lasting 8–9 days with clot passage, suprapubic heaviness, urinary frequency, and secondary dysmenorrhea. She has completed her family. Examination reveals a firm, irregular mass arising from the pelvis at 14 weeks size. Transvaginal ultrasound demonstrates a bulky, lobulated uterus with **multiple heterogeneous hypoechoic round lesions** (marked **A**) ranging 2–6 cm in the anterior and posterior myometrial walls. Laboratory workup shows hemoglobin 8.6 g/dL with microcytic hypochromic picture and ferritin 8 ng/mL. Which of the following is the most appropriate definitive management for this patient?