Hello and welcome to HCM. Thank you for your query. It appears that all your complaints are related to your fibroid, and in turn your enlarged uterus, that is applying pressure on the surrounding structures. As I understand your concern and fear for surgery, which every normal human being has, I would still recommend surgery, which is the best solution, in regards to your age as well. But, if you do not wish to go for surgery (hysterectomy or myomectomy), there are a few other treatment options, although time consuming and not as effective as surgery. Let me list them down for you: -Diet (rich in vitamin D) -Medication: +Androgens (eg. Danazol): can reduce uterus size and shrink fibroid s +Progestin-releasing intrauterine device (IUD): Provides symptom relief (eg. pain, heavy bleeding, etc.); does not contribute to reducing fibroid size +Gonadotropin-releasing hormone angonists (GnRH)- eg. Synarel, etc: This group of medicines help in reducing fibroid size and treating anemia (if present) You can thus consult your doctor to help prescribe the most suitable drug, and watch the response. As informed earlier, medication is not as effective, and it might take weeks/months till you can actually notice any change/reduction in size of the fibroid. Please be patient. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes.