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Doctor insights on: Safe To Get Hysterectomy After Menopause If Have Fibroids

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

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. ...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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Does a woman with very large fibroids always have to get a hysterectomy and will it affect fertility?

Options: Just removing the fibroids is called a myomectomy. If you have large fibroids, you may want to have them removed before pregnancy. If you have a hysterectomy, that means removing your uterus, so you would not be able to carry a child. Fibroids can be removed with a larger abdominal incision or you may be a candidate for a robotic surgery which usually has a quicker recovery. ...Read more

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What is an enlarged uterus and I have 4 fibroids my uterus is 11.4x7.8x7.2 CM do I need to get a hysterectomy?

Depends on symptoms: Average age of menopause is 51, + or - 7 years. Uterine fibroid usually shrink after menopause. However may continue to grow if your are heavy or using hormones. If your fibroids are causing symptoms, pelvic pain, abnormal bleeding, painful intercourse, etc. You might have a better quality of life if you have a hysterectomy. If you are asymptomatic and the fibroid are not growing, then observe. ...Read more

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

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. ...Read more

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Hysterectomy side effects- is it possible to get uterine fibroid embolization?

Yes: Uterine fibroid embolization (ufe) allows a woman to not only avoid all of surgical risks associated with hysterectomy but also risks of what happens to these women without their uterus. Having a hysterectomy particularly before age 50 and despite leaving in the ovaries increases their risk for osteoporosis and heart disease. It also affects many women psychologically & sexually. Ufe avoids this. ...Read more

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Can you still get uterine fibroids if you get a hysterectomy, even if they occur outside the uterus?

NO: Fibroids are a growth of the muscular wall of the uterus. Once the uterus is gone they can no longer form. The exception is if the cervix was left in place, and then occasionally a fibroid can growth from the cervix. The ovary can occasionally grow a solid growth called a fibroma, but this is not the same as a uterine fibroid. ...Read more

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

Not necessarily: It would depend on the size and the locations of the fibroids. Also if you are planning on getting pregnant again. Also, if you have had significant blood loss which is difficult to control, surgery might also be advised. ...Read more

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Per my blood work, my estrogen level is 7. I got a prscriptn for divigel but my mom had breast cancer 3 yrs ago. Pls advs. Currently in great health for 51. Black female, straight, otr, cdl driver. Hysterectomy 4 yrs ago for fibroids. I get a physica

Per my blood work, my estrogen level is 7.  I got a prscriptn for divigel but my mom had breast cancer 3 yrs ago. Pls advs. Currently in great health for 51.   Black female, straight,  otr, cdl driver.  Hysterectomy 4 yrs ago for fibroids. I get a physica

I : I share your concerns. I do not know what symptoms you are having that you were prescribed Divigel for, but i assume that you are having menopausal symptoms that you are suffering from. My concern with you would be your family history of breast cancer. In addition, there is increased cardiovascular risks in women over 50 and in women who are overweight. I am very concerned that you could have consequences from taking this medication, so please discuss your risk factors with your doctor. My concern with herbal medications is that they carry the same risk with their estrogen-like substances as regular estrogen, so the herbal medication or bio-identicals have not been proven safe in large peer-reviewed studies either. There are other non-hormonal medications that can help menopausal symptoms, such as neurontin, (gabapentin) but there are several others that you can read about or ask your doctor about as well. ...Read more

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What causes fibroids to reappear after a total hysterectomy and how are they treated?

What causes fibroids to reappear after a total hysterectomy and how are they treated?

It shouldnt: fibroids are generally seen in the uterus and once you go through the hysterectomy you shouldnt have recurrence. The fibroids are part of the uterus, and once the uterus is removed; you no longer have the source. ...Read more

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Is total hysterectomy required on complex septated ovary cysts? Right=12cm Left=5cm Fibroid=5cm

No: Episodic surgical management of both of these problems can include ovarian cystic resection/biopsy and myomectomy for the fibroid. At age 44 and finished with childbearing, hysterectomy is an option but not required. ...Read more

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The gyn wants me to have a hysterectomy for fibroids and I still want children. So what should I do?

Second opinion: Many women have small fibroids that do not interfere with their pregnancies at all. The mere presence of a fibroid does not mean you must have surgery. Ask your doctor why surgery is being suggested--are the fibroids large? Is there a history of miscarriage. You could ask an infertility expert. I have seen women carry babies to term with fibroids that were over 16 cm in size! ...Read more

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Dr. Janet Greenhut
1,725 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. Stephen Scholand
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