Sternberg tumour, a cause of intractable menorrhagia, is quite rare with potential alarming macroscopic features leading to overaggressive treatment. In this case it presented following many years of intractable menorrhagia which was resistant to long-term medical management and endometrial ablation techniques. Incidence with the previous use of endometrial ablation techniques has not been justified given the present literature. The histological diagnosis was arrived at with difficulty given the similarity with other types of cotyledoniod leiomyomas.