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Doctor insights on: Ovarian Fibroids After Menopause

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Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Likely, no: CA 125 is not recommended as a screening tool for ovarian cancer when used in risk-based stratification. Meaning, assuming that your mom or sister didn't get diagnosed with ovarian cancer. Normal for women with endometriosis to have elevated CA-125. It sounds like your doctor has done Ultrasound to evaluate ovaries as well. Your MD knows your history and risk, likely this CA-125 level is normal ...Read more

Dr. Amrita Dosanjh
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


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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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Hi, I'm 48 yo, have endometriosis, ovarian cysts, uterine fibroids, pre-menopausal. CA 125 was around 200's then 159 the last one was 210 any concerns?

Likely, no: CA 125 is not recommended as a screening tool for ovarian cancer when used in risk-based stratification. Meaning, assuming that your mom or sister didn't get diagnosed with ovarian cancer. Normal for women with endometriosis to have elevated CA-125. It sounds like your doctor has done Ultrasound to evaluate ovaries as well. Your MD knows your history and risk, likely this CA-125 level is normal ...Read more

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What are the risks and side effects of uterine embolisation for fibroids? Can it shut down ovarian function and trigger menopause?

What are the risks and side effects of uterine embolisation for fibroids? 

Can it shut down ovarian function and trigger menopause?

Rarely: Overall, the risk of complications from uterine fibroid embolization (UFE) is quite low. Infection is the most serious risk, sometimes requiring hysterectomy. There is a small risk of premature menopause, seemingly higher in women over 40. It is probably more difficult to get pregnant after UFE. But overall it is an effective, safe procedure for symptomatic fibroids. ...Read more

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Can Vagifem pessary 10mg (vaginal tablet) increase size of fibroids even after menopause? I am 69 and having a scan as they suspect fibroid increased!

Vagifem pessary: Any source of estrogen can increase the size of fibroids, but if you did not have problems with fibroids prior to menopause, it is not likely that a "10 mg. Vagifem" will stimulate fibroid growth to the point where one has symptoms or discomfort. The scan will determine the true cause of this. ...Read more

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Is flax seed of any benefit for pari menopause person. Is it to the advantage or disadvantage to fibroids, ovarian cysts, endometrium risks of cancer?

Is flax seed of any benefit for pari menopause person. Is it to the advantage or disadvantage to fibroids, ovarian cysts, endometrium risks of cancer?

Flax seed: People use it for menopausal symptoms and increase cholesterol. As for menopausal symptoms there are no randomized study that proves its effect. Flax seed migth be good for your since it contains omega 3, as for menopause it has no proven record of that. No effect on fibroids or ovarian cyst. ...Read more

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Complex ovarian cyst after menopause?

Complex ovarian cyst after menopause?

See MD: A complex mass at any time is concerning-but more so after menopause. It may have been there for years and be totally benign, but most mds will be worried about a complex mass. A ca125 and he4 test can help decide whether to go to surgery now or closely watching with follow up ultrasound. If it is more than 5 cm or there are other worrisome looking signs on ultrasound, surgery will be necessary. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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

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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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.) ...Read more

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Before I got my fibroids I wanted to see was I going through pre-menopause because I was having hot flashes and I haven't had periods but I wasn't going through pre menopause then after finding that out I got my fibroids removed I thought that would help

Unclear: I am unclear what ur question is. There is no direct relationship between fibroids and perimenopause. Fibroids are benign tumors of the uterus. Estrogen levels, age, race, and genetics may play a role in the development and growth of fibroids. See your clinician if they cause severe pain or heavy bleeding. Menopause usually leads to necrosis and resolution of fibroids due to estrogen decline. ...Read more

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Should fibroid be removed? I have had a large fibroid for 10 + years which I didn't have removed because it didn't cause symptoms. It has stabilized since going through menopause 2 years ago. Does it have to be removed?

Asymptomatic : Asymptomatic fibroids do not need surgery with few exceptions.
1. Growing after menopause. Remove because of risk of sarcoma. Sarcomas are very rare and grow rapidly. Pre-existing fibroids do not develop into sarcoma.
2. Blockage of the kidneys. This can occur without symptoms, and is detected by ultrasound of the kidneys, which can easily be done during pelvic ultrasound.
3. Blockage of blood low from the legs, usually if not always a symptom, since one leg will swell.
4. Patients at risk of ovarian cancer when the ovaries cannot be palpated on exam or seen on ultrasound. This is a soft call since it is not clear that pelvic exam or ultrasound detects ovarian cancer without symptoms, but I have saved a few women from advanced cancer by sticking to this rule. ...Read more

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I am 52, was on lupron (leuprolide) depot to shrink fibroids before sugery. Diagnosed with et. Is there a way to bring on natural menopause?

No: The average menopause in the us is 51.3 years old, so you should be close to your own natural menopause. The use of depo-lupron prior to surgery can shrink fibroids as much as 40-50% and make the surgery easier, especially if the fibroids are large. At 52, rather than removing the fibroids, you may consider tah+bso; thus eliminating the 3rd, 4th and 5th causes of cancer in women. Just a thought. ...Read more

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(2) TVUS 10mo apart show Endo lining 1.6cm, (1) submucosal fibroid 6mm, (1) complex Ovary cyst 1.8cm. Pre-menopausal sm amt free fluid — worrisome?

(2) TVUS 10mo apart show Endo lining 1.6cm, (1) submucosal fibroid 6mm, (1) complex Ovary cyst 1.8cm. Pre-menopausal sm amt free fluid — worrisome?

Potentially: The most unusual part of this presentation is the continued presence of a complex ovarian cyst. This is more than likely benign at your age but if cysts do not resolve spontaneously, they should be looked at more closely with further work up. ...Read more

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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 causes. In your case I wouldn't expect to see a 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. ...Read more

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I'll be 49 this year. I have 3 fibroids. At my age should I just live with my heavy periods and pain, being do close to menopause? Will it go away?

I'll be 49 this year. I have 3 fibroids. At my age should I just live with my heavy periods and pain, being do close to menopause? Will it go away?

Possibly: When you go through menopause your heavy periods will stop. The average age of menopause in the us is 51. If your heavy periods are affecting your life then you should have a hysterectomy. If you can wait then go for it. Make sure you aren't becoming anemic with symptoms of weakness, fatigue, dizzyness and appearing pale. For a minimally invasive hysterectomy call my office 714-997-9595. ...Read more

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I'm going through menopause will the fibroids shrink and do menopause cause you to gain weight or your stomach to bloat how long will I go through it?

Fibroids will shrink: The fibroids will shrink over time if you do not use hormones. Menopause is forever but the symptoms are variable. A healthy lifestyle will help reduce bloating and weight gain. ...Read more

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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. ...Read more

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Going through menopause. T-vag says endo stripe is 0.4 cm, small post. Uterin fibroid 0.9cm, some benign nabothian cysts in cervix. Anything worrisome?

Going through menopause. T-vag says endo stripe is 0.4 cm, small post. Uterin fibroid 0.9cm, some benign nabothian cysts in cervix. Anything worrisome?

No worries.: A small uterine fibroid is usually asymptomatic and is not dangerous. A fibroid will usually shrink after menopause from decreasing estrogen levels. Your endometrial stripe is also normal. Nabothian cysts are also normal. None of these findings pose any risk to your health. ...Read more

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I am 49 years old and have 7-8 fibroids. To treat my menopause symptoms (hot flashes) my doctor wants to use estrogen treatment. Is it safe?

I am 49 years old and have 7-8 fibroids. To treat my menopause symptoms (hot flashes) my doctor wants to use estrogen treatment. Is it safe?

Risks, benefits: Estrogen replacement therapy (ERT), while effective for treatment of hot flashes, carries risks, as do many medications. Your doctor can help you weigh the benefits and risks of estrogen so that you can make an informed decision about taking ERT. ...Read more

Dr. Janet Greenhut
1,742 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. Hamid Sajjadi
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