Once you're satisfied with the diagnosis of symptomatic fibroids, don't do anything yet. For example, you could treat your fibroid symptoms with palliative measures, taking painkillers until the fibroids shrink naturally in menopause. If so, tell your doctor that you want to go off any kind of synthetic estrogen product you might be taking. Then, wait and see if your symptoms subside on their own. If you are, go off them for a while and see if the symptoms subside.
Endometrial ablation is another treatment option that involves laser surgery through hysteroscopy.
During this procedure, fibroids under the uterine lining can be removed and the remaining uterine lining tissue destroyed. This will prevent bleeding, leaving you infertile, but will not interfere with your ovarian functions. Some women continue to have some bleeding, but it's usually much lighter. Because the endometrium may regrow, a tubal ligation at the same time may be necessary, since it's not known how damaging a pregnancy could be. There's also concern that the procedure could cause scarring of the uterine cavity that might complicate an endometrial cancer diagnosis.