What do uterine fibroids mean in women over 40?

Fibroids develop from the muscle of the uterus and can grow within the wall, toward the inner cavity or outward from the uterus. Their size and position help determine whether they cause heavy or prolonged periods, pelvic pressure, frequent urination, constipation, pain during sex or difficulty becoming pregnant. Some shrink after menopause as hormone levels change, while others remain and need assessment.

New, changing or persistent bleeding after periods have stopped needs medical review. Fibroids are not the same as cancer, but symptoms can overlap with other conditions, so an examination and imaging may be needed.

Keep a record of bleeding, pelvic discomfort, bladder or bowel symptoms and their effect on daily life. A clinician may arrange a pelvic examination and ultrasound, then discuss observation, medicines for symptoms, procedures or surgery according to your symptoms, fibroid location, menopause status and future pregnancy plans.

Read more about [Uterine Fibroids](/conditions/uterine-fibroids/) if you want a broader overview of symptoms and treatment choices.

Arrange prompt care for bleeding between periods, bleeding after sex, a new pelvic mass, worsening pelvic pain or pressure, or bleeding after menopause. Seek urgent help for very heavy bleeding with dizziness, fainting, severe pain, fever or marked weakness.

Ask where the fibroids are located, whether they explain your symptoms, whether imaging is needed, and how menopause may affect them. Ask which options protect your fertility if that matters to you and what changes should trigger an earlier review.