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Doctor insights on: Do Fibroids Bleed After Menopause

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Dr. Linda Gromko Dr. Gromko
Family Medicine
44 years in practice
Washington University School of Medicine
1

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Does a fibroid tumorstill grow after menopause?

Does a fibroid tumorstill grow after menopause?

They slow down...: Fibroids - benign growths of the uterus - tend to grow unil a woman reaches menopause. At menopause, fibroids tend to stop growing. And depending on their size, they may disappear altogether. Talk with your doctor for specific answers about your body, though! Lgromkomd.

Dr. Ihab Ibrahim
9 Doctors shared insights

Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. 1 of every 3 women of child-bearing age have these tumors and up to 80% of african-american women have fibroids. They are often asymptomatic but they can also cause significant symptoms. It is the most common cause of heavy menstrual bleeding. Pelvic pain and increased urinary frequency ...Read more


Dr. John Lipman Dr. Lipman
Radiology
32 years in practice
Georgetown University School of Medicine
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How long does it take fibroid to shrink after menopause?

How long does it take fibroid to shrink after menopause?

Variable: Reduction in size for fibroids is desirable although that is not the basis for treatment. Symptoms are why someone with fibroids is treated. The most common symptoms with fibroids are heavy bleeding, pelvic pain, and increased urinary frequency. If you're post-menopausal, bleeding no longer an issue. Other 2 should start to go away over time; if not you could consider uterine fibroid embolization.

Dr. Mary Engrav Dr. Engrav
Emergency Medicine
27 years in practice
3

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Do large uterine fibroids (22 cm) shrink after menopause and how much, if they do? I am a 50 yr old caucasion. I was thinking of waiting until menopause and lettingt it shrink. It isn't causing any problems other than bulk related which I can handle. My d

Do large uterine fibroids (22 cm) shrink after menopause and how much, if they do? I am a 50 yr old caucasion. I was thinking of waiting until menopause and lettingt it shrink. It isn't causing any problems other than bulk related which I can handle. My d

Leiomyomas: Leiomyomas of the uterus (fibroids) sometimes shrink after menopause, but some women have them actually enlarge. It sounds like yours are very large which concerns me. I would recommend following your doctors advice, or at least obtaining a second opinion, because it sounds like your doctor is concerned they may compress your ureters which could cause kidney damage. Please be re-evaluated or at least seek a second opinion as I am concerned by that.

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Dr. John cuong Doan Dr. Doan
Family Medicine
14 years in practice
Medical College of Georgia School of Medicine
4

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Blooding after menopause. Have fibroids. Should I have another ultra sound. Last one two yrs ago. Yearly pap good.?

Blooding after menopause. Have fibroids. Should I have another ultra sound. Last one two yrs ago. Yearly pap good.?

Bleeding post: menopause is never a normal occurrence. You will need transvaginal ultrasound to evaluate your endometrial thickness / stripe and consider endometrial biopsy if bleeding continues. Hormonal changes are the most likely culprit, though at 58 years young, there are few causes that are considered "benign". Please see your GYN as soon as possible.

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Dr. Chukwuma M. Okoroji Dr. Okoroji
Obstetrics & Gynecology
5 years in practice
University of Ibadan College of Medicine
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I am 53 years old woman, still menopause is not reached. Heavy bleeding during regular periods of 25 or 27 days. Lots of fibroids in uterous?

I am 53 years old woman, still menopause is not reached. Heavy bleeding during regular periods of 25 or 27 days. Lots of fibroids in uterous?

Fibroids/bleeding: You need to see a gyn physician as soon as possible. Yes you are in the perimenopause phase which is characterised by menstrual changes from heavy regular to heavy irregular menstrual bleeding. Soon it will change to scanty missed periods in between months. However, in the presence of fibroids the pattern could be affected in an unpredictable way. You also need endomtrial biopsy to rule out cancer.

Dr. Douglas Lawson Dr. Lawson
Obstetrics & Gynecology
24 years in practice
Indiana University School of Medicine
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What causes bleeding from the cervix after menopause? US shows endometrial thickening of 8mm and no change in fibroids. Bleeding is from cervix.

What causes bleeding from the cervix after menopause? US shows endometrial thickening of 8mm and no change in fibroids. Bleeding is from cervix.

Bleeding: Polyps both endocervical and prolapsed endometrial polyps, cervicitis (inflammation from infection), cervical cancer are some of the causes. In your case I wouldn't expect to see an 8mm endometrium at age 60, so I'm concerned about possible hyperplasia. Trauma from sex can cause cervical and vaginal bleeding as well from atrophy.

Dr. Lillian Schapiro Dr. Schapiro
Obstetrics & Gynecology
26 years in practice
Albert Einstein College of Medicine of Yeshiva University
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3 yr post menopause, no bleeding, 5mm endo/ lining, 2 small fibroids, negative biopsy and pap but atrophy, parabasal cell type. 1 yr pap, or sooner?

3 yr post menopause, no bleeding, 5mm endo/ lining, 2 small fibroids, negative biopsy and pap but atrophy, parabasal cell type. 1 yr pap, or sooner?

Pap history: Those are normal findings. When you need another pap is based on your previous pap smears. If you have no hpv, never had an abnormal pap and have had 3 abnormal paps, you may not need another pap for 3 years. You still need to see your gyn for a physical exam and assess your ovaries.

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Dr. Michael Hulse Dr. Hulse
Gynecology
23 years in practice
East Tennessee State University James H. Quillen College of Medicine
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Post menopause break through bleeding. Ultra sound. 61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?

Post menopause break through bleeding. Ultra sound. 61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?

Not always.: Anytime their is postmenopausal bleeding then an US evaluation of the uterine lining should be performed. If the endometrial stripe is more than 3-5 mm then an endometrial sample should be taken. This can usually be done in the office and does not require a D and C. Sometimes your doctor may want to insert a thin flexible camera into the uterus to further evaluate the lining.

Dr. Paula Hillard Dr. Hillard
Obstetrics & Gynecology
40 years in practice
Stanford University School of Medicine
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10-12 after menopause I am bleeding, not a lot but any scares me. Why am I bleeding now? Very stressful day and took a walk fof over an hour after 2-3 years. Also did a lot of yard work for the first time this year.

10-12 after menopause I am bleeding, not a lot but any scares me. Why am I bleeding now? Very stressful day and took a walk fof over an hour after 2-3 years. Also did a lot of yard work for the first time this year.

See your doctor: Bleeding after menopause (defined as 1 year without a period or any bleeding) is always a reason to see your gyno. Your activity is unlikely to be a cause. There are some simple causes, such as a dry vagina and bleeding after sex, and some more worrisome causes that definitely need evaluation and treatment (pre-cancers and cancer). Don't worry, but do make an appointment today.

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Dr. Dan Fisher Dr. Fisher
Internal Medicine
23 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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What is clacified fibroids? I'm in early menopause and have some spotting.. How close should they be watched.

Benign tumors: These are benign tumors of the uterus. Many women have them. They don't necessarily need watching but can sometimes be uncomfortable or bleed.

Dr. Ron Eaker Dr. Eaker
Obstetrics & Gynecology
years in practice
East Tennessee State University James H. Quillen College of Medicine
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How true when women gets closer to menopause, new fibroids will not form after multiple fibroids were removed by open myomectomy at age 44?

How true when women gets closer to menopause, new fibroids will not form after multiple fibroids were removed by open myomectomy at age 44?

Possible: Anytime a uterus is present fibroids possibly can develop or grow. It becomes less of a problem as you age, especially if they have to start"from scratch" after having any visible ones removed. Fiboids largely depend on estrogen for growth, so as you get closer to menopause this level decreases.

Dr. Gerard Honore Dr. Honore
Fertility Medicine
25 years in practice
Wake Forest University School of Medicine
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I have severe endometriosis and I just had surgery to take some fibroids out they want to give me medication to make me go through menopause im 32

I have severe endometriosis and I just had surgery to take some fibroids out they want to give me medication to make me go through menopause im 32

Temporary: The medicine will not truly put you in menopause, it is temporary and completely reversible when you stop the drug. The med is for pain mangement; if you don't want to use it, talk with your docotr.

Dr. Bryan Treacy Dr. Treacy
Gynecology
31 years in practice
University of Missouri-Columbia School of Medicine
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I'm having a hysterectomy for fibroids soon. Will this cause menopause?

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

No: Hysterectomy refers only to the uterus so a total hysterectomy removes the uterus & cervix. If the ovaries are not removed this should not cause menopause although the reduction in blood flow to the ovaries can lead to ovarian dysfunction which might result in menopausal symptoms.

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Dr. Maria Hayes Dr. Hayes
Obstetrics & Gynecology
years in practice
15

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Will fibroids stop growing during menopause? I did have spotting but it has stopped?

Sometimes: In many women, their fibroids decrease in size after menopause, as many fibroids are estrogen dependent. If they grow after menopause, they should be removed, as they could be a cancer masquerading as a fibroid. If there is enlargement after menopause, do not panic. These are frequently benign, but cancer must be ruled out.

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Dr. James Long Dr. Long
Internal Medicine
5 years in practice
16

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Opinions on using bhrt after 2 x art tries, causing severe fibroid & cyst issues. Peri-menopausal and dealing with fertility issue. Is it recommended?

Opinions on using bhrt after 2 x art tries, causing severe fibroid & cyst issues. Peri-menopausal and dealing with fertility issue. Is it recommended?

BIoHRT: You are a bit young to be peri menopausal. There are many forms of hrt. Biologically identical simply means that te compound is the same as what you body makes. I think these are safe. I think topical is better than oral. A good resource is the north american menopause society (nams) 2012 position statement on hormone replacement. A new review shows women with hysterectomies lived longer on hrt.

Dr. Jeff Livingston Dr. Livingston
Obstetrics & Gynecology
18 years in practice
University of Texas Southwestern Medical School at Dallas
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Hello, I'm a 49 year old going through menopause with fibroids. What should I expect to happen to the fibroids without blood being supplied? Thanks

Hello, I'm a 49 year old going through menopause with fibroids. What should I expect to happen to the fibroids without blood being supplied? Thanks

Usually shrink: Most fibroids will shrink a little after menopause as the hormone "fertilizer" is removed. Some stay the same. It is rare for them to increase in size.

Dr. Alvin Lin Dr. Lin
Internal Medicine - Geriatrics
26 years in practice
Wake Forest University School of Medicine
18

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What is the risk of triggering menopause if I had a hysterectomy (keeping ovaries) vs if I had an embolization for fibroids?

What is the risk of triggering menopause if I had a hysterectomy (keeping ovaries) vs if I had an embolization for fibroids?

Can't trigger menopa: Only way you can "trigger" menopause is to stop ovarian function either surgically or chemically. So as long as ovaries are currently functioning just fine, hysterectomy & embolization shouldn't affect their function. Speak w/both GYN and vascular/interventional radiologist who does embolization. Find out which is best for you (or if either is even necessary). Your Family Doc can help sort out inf

Dr. Michael Traub Dr. Traub
Fertility Medicine
15 years in practice
Saint Louis University School of Medicine
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Can nuvo ring create state of menopause and in turn shrink fibroid or adenomyosis?

No: Nuvaring does not create a state of menopause. It can affect and decrease your natural hormones. There can be some effect of fibroids, very little on adenomyosis.

Dr. Roger Duvivier Dr. Duvivier
Obstetrics & Gynecology
43 years in practice
Albert Einstein College of Medicine of Yeshiva University
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I'm 45. No children, peri-menopausal, no period in 3 months, fibroids biggest 8 cm. Can I insist on not having a hysterectomy?

I'm 45. No children, peri-menopausal, no period in 3 months, fibroids biggest 8 cm. Can I insist on not having a hysterectomy?

Of course, you can: Since most fibroids are benign muscle tumors which can remain asymptomatic and unchanged till the menopause when they tend to shrink, you should indeed "Insist" on obtaining a clear description of your risks, benefits, alternatives etc. And on the medical-gynecological indications for a hysterectomy in order to make an informed decision that you feel comfortable with (surgery as your last resort.)

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Dr. Janet Greenhut
1,730 Doctors shared insights

Menopause (Definition)

The absence of menstrual periods for 12 months. During menopause, the ovaries stop producing estrogen and progesterone. After the complete transition into menopause, women can no longer get pregnant. The average age for menopause is 51 years old. Symptoms include dry vaginal tissue, irregular periods, hot flashes, mood ...Read more


Dr. Austina Cho
3 Doctors shared insights

Fibroid (Definition)

A leiomyomata (fibroid) is a smooth muscle growth in the uterus that is rubbery, binds the female hormone estrogen and can grow to "epic" proportions causing distortion of the uterus. They cause bleeding, and burning pain (aka "fireball tumor") as ...Read more