Welcome to HCM. THis is Dr Amit Most uterine fibroids are harmless do not cause symptoms and shrink with menopause. But some fibroids are painful, press on other internal organs, bleed and cause anemia, or cause pregnancy problems. There s no single best approach to uterine fibroid treatment — many treatment options exist As you are having severe heavy bleeding you can consider shrinking the fibroid by hormonal medications, removing the fibroid (myomectomy), or removing the entire uterus (hysterectomy). For all procedures, except hysterectomy tiny tumors (seedlings) that your doctor doesn t detect during surgery could eventually grow and cause symptoms that warrant treatment. So i will advice you to choose abdominal hysterectomy as it remains the only proven permanent solution for uterine fibroids. But hysterectomy is major surgery. It ends your ability to bear children. Feel free to ask if you have more doubts Regards