What are the best treatment option for several small fibroid throughout the the uterus which cause problem and enlarged uterus? im 39 already have children and have high blood pressure?

Your call. You did not describe the problem, so any intervention must be bases on a benefit/risk decision. If the problem is enough to interrupt your enjoyment of life, you decide to treat based on the options provided. A simple vaginal hysterectomy may be the simple definitive choice with a short recovery time. Your OBGYN should have several options.