Q:

Do fibroids need to be removed after menopause?

A:

Quick Answer

Fibroids usually shrink following menopause, but if they cause pain or issues, surgery, including removal, may be necessary, according to the Office on Women's Health. This treatment of fibroids is usually for those who have severe symptoms.

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Full Answer

Myomectomy, hysterectomy and endometrial ablation are some of the surgical options for those who have severe fibroids, explains the Office on Women's Health. Myomectomy is the option that women who wish to have children choose, as the goal is to save as much of the healthy uterine tissue as possible. Women who get this surgery to treat fibroids can usually still have children, but may need a cesarean section for delivery.

A hysterectomy is the only way to fully treat fibroids, but to do so, the removal of the uterus occurs, states the Office on Women's Health. There are a number of ways to perform a hysterectomy, and some, such as going in through the abdomen, are more invasive than others, such as removing it vaginally. With an endometrial ablation, which is a minor procedure, the doctor takes the lining of the uterus out but leaves the organ in place. Though she still has the uterus, a woman who has an endometrial ablation can no longer have children naturally. This surgery is usually an outpatient procedure in the doctor's office.

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