If i have severe bleeding and cramps from uterine fibroids, will i need to get a hysterectomy?

Maybe: The best solution for you will depend on the size and location of the fibroids and your age. It may be possible to control your symptoms with endometrial ablation or uterine artery embolization or ocs. If you are close to menopause, you may be able to use the medicines Lupron and Aygestin (norethindrone) for 6 months. For some women, hysterectomy, especially if it can be done laparoscopically, is best.

No: If you have significant symptoms from fibroids you can keep your uterus and instead treat the fibroids with uterine fibroid embolization (ufe). There are many reasons to keep uterus in patients who have completed childbearing. Uterus important in sexual health, cardiovascular health, bone health. For ufe you would need to consult an interventional radiologist.

Not necessarily: Hysterectomy is one method of treating symptoms of fibroids. Other methods include use of hormones, surgical removal of fibroids, and uterine artery ablation (to cut off the blood supply to the fibroids). You and your doctor can decide on the best treatment for you.