I have an enlarged uterus, 18cms, multiple fibroids, largest 7cms. is hysterectomy my only option, as my doctor seems to think?

No, but . . .: There are always options. But some may suit your needs better than others. Having fibroids by itself is not an indication for surgery. We usually recommend a procedure based on the symptoms that you're having. Also your desire for future fertility plays a role. Interventional radiological techniques such as uterine artery embolization can be useful. Having said that, hysterectomy is definitive.