A member asked:

Is a hysterectomy after menopause the best answer for hormone therapy if you have uterine fibroids?

14 doctors weighed in across 4 answers
Dr. Katherine Sutherland answered

Specializes in Gynecology

It depends: Most fibroids shrink in menopause, even if you are treated with low-dose hormone therapy. If, however, fibroids grow during menopause, that is a red flag for possible trouble. Hysterectomy will be your best bet to rule out the possibility of a cancerous growth, and to prevent further fibroid growth. Furthermore, you can then use estrogen alone which may be safer than estrogen plus progesterone.

Answered 9/28/2016



Not necessarily: Hysterectomy is one method of treating fibroids. Other methods include myomectomy (removal of only the fibriods), uterine artery ablation (to cut off the blood supply), and hormone manipulation. Fibriods tend to be less of a problem after menopause because their growth depends upon hormones; when hormone levels decrease after menopause, fibriods usually shrink.Periods stop, so bleeding does too.

Answered 10/15/2013


Dr. John Kirk answered

Specializes in Obstetrics and Gynecology

Generally no: Once menopause occurs usually fibroids will start to shrink or at least not grow. Usually, the low doses available for hormone replacement of menopausal symptoms are so low they do no cause regrowth in the fibroid tumors. It is possible, however, for some fibroids to grow despite the low doses. Follow their growth with serial ultrasounds, perhaps.

Answered 1/5/2019


Dr. Michael Traub answered

Specializes in Fertility Medicine

Maybe: If the fibroids are still causing you problems then that may be the best answer. It is not the only option. It depends how many, the size and location, and how you feel.

Answered 10/12/2013



Related Questions

A member asked:

I'm having a hysterectomy for fibroids soon. Will this cause menopause?

4 doctors weighed in across 4 answers