Should I be concerned about fibroids if I’m entering menopause?

No. Fibroids are benign (non-cancerous tumors). They are usually are not an issue for women in menopause. On occasion, post-menopausal women (typically recently post-menopausal) will have increased urinary frequency and nocturia (waking at night to urinate) from fibroid(s) compressing the bladder.
Angela T. Valle, MD
OBGYN (Obstetrics & Gynecology)
In general, once you’ve reached menopause, your bleeding will stop and fibroids should cease to be a problem.

Over time, fibroids will start to shrink. However, it does take some time. For instance, if your symptoms are mainly that you have a big, bulky uterus due to your fibroids, it's maybe not the best idea to think everything's going to go away with menopause.

You should consider pursuing treatment if there’s any kind of heavy bleeding, regardless of how close to menopause you are. Bleeding to the point of needing blood transfusions is obviously dangerous. If fibroids are causing slightly heavier periods but no anemia, or slightly irregular periods but otherwise you're not having pain or any other symptoms, then waiting for menopause is a reasonable option.

However, you should talk to your doctor to help a devise a plan. There are medical treatment options for heavy bleeding. Sometimes they don't work as well when the cause of your bleeding is fibroids, but they may help.

Continue Learning about Uterine Fibroids

Uterine Fibroids

If you have uterine fibroids, you may never even notice that they are there. Ranging from the size of a small seed to grapefruit-sized, fibroids are tumors on the uterus that rarely cause harm. Some women have true discomfort with ...

fibroids, including pain in the abdomen or low back, or pain during sex. Sometimes, uterine fibroids can cause miscarriage, preterm labor, or even lead to infertility. Women in their 40s and 50s, women of African-American descent and women that are overweight are at higher risk of developing fibroids, although an estimated 20-80% of women will have them at some point before they turn 50. If your doctor notices fibroids during an ultrasound or pelvic exam, he or she may want to treat them with medication or surgery.

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.