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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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Dr. Janet Greenhut
1,701 doctors shared insights

Menopause (Definition)

Menopause is defined as 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. John Lipman
630 doctors shared insights

Uterine Fibroids (Definition)

Uterine fibroids are the most common pelvic tumor in women. They occur in 1 of every 3 women regardless of race and up to 80 % of african-american women of child bearing age. They are often asymptomatic but they can cause significant symptoms (exe. Heavy menstrual bleeding, pelvic pain, increased urinary frequency). They ...Read more