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.
Maybe. If the fibroids are still causing you problems then that may be the best answer. It is not the only option. It depends how many, the size and location, and how you feel.
Generally no. Once menopause occurs usually fibroids will start to shrink or at least not grow. Usually, the low doses available for hormone replacement of menopausal symptoms are so low they do no cause regrowth in the fibroid tumors. It is possible, however, for some fibroids to grow despite the low doses. Follow their growth with serial ultrasounds, perhaps.
Not necessarily. Hysterectomy is one method of treating fibroids. Other methods include myomectomy (removal of only the fibriods), uterine artery ablation (to cut off the blood supply), and hormone manipulation. Fibriods tend to be less of a problem after menopause because their growth depends upon hormones; when hormone levels decrease after menopause, fibriods usually shrink.Periods stop, so bleeding does too.

Related Questions

Why am I in menopause 5 years after my hysterectomy? I took hormone therapy for 2 years

Low hormones. Your body needs hormones daily! taking them for 2 years was great for 2 years if that's how long you wanted to feel well. Now you need to go to a4m.Com website and use the physician locator to find a local functional medicine doc to help you evaluate your hormone levels and then get you started using safe bio-identical hormones rather than prescription synthetic ones so you'll feel well to 99 yrs. Read more...
Unclear. A hysterectomy refers to removal of the uterus only. Based on your history of hormone use i assume you had your ovaries removed. Menopause symptoms are variable in different women. To understand things better and to determine the best plan of action, i would recommend seeing a reproductive endocrinologist. Read more...