Hi kg1974
I don't think I've said
if you've just joined?
Which mini-pill are you on? Strange for your fibroid to have grown when on this? Some mini pills suppress ovualtion and depress oestrogen levels. It is impossible to tell where you are in menopause if you've been on the mini pill as it stops periods and I think the only way is age, symptoms and a blood test ( for FSH).
I would definitely want a biopsy to check all is OK?
If it turns out that you have to have a hysterectomy then on NO ACCOUNT LET THEM TAKE OUT YOUR OVARIES (if they're healthy), and then you will not be plunged into sudden menopause. It will happen more gradually although perhaps slightly sooner than if womb was left in. You would not need the contraception then and if you experienced menopausal symptoms you would be able to take oestrogen only HRT at the dose needed to eliminate symptoms. Don't let Jari frighten you off HRT - which you may not need yet - most women get on just fine with it once they have the right preparation at the right dose for their menopausal stage.
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You could ask for referral to a gynaecologist yes as well as menopause specialist to invesitgate options - this should be part of your referral for fibroid monitoring but do ask for a second opinion if not happy with the first.
(CLKD - Louise Newson is a private clinic).
Good advice from Jari about diet, exercise and lifestyle - everyone should be optimising this at menopause (and before!).
Let us know how you get on and yes ask the doc for FSH test.
Hurdity x