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What causes fibroids to grow after menopause?

Written by John Smyth - February 27, 2023

What Causes Fibroids to Grow after Menopause?

Menopause can be an uncomfortable time for many women. Many physical changes can occur during this period, including the growth of fibroids. Understanding what causes fibroids to grow during and after menopause may help women make better health decisions.

Fibroids are non-cancerous tumors that grow in the uterus and can cause pain, irregular bleeding, and other symptoms. They are fairly common in women of reproductive age and usually shrink once a woman enters menopause; however, some women find that their fibroids continue to grow even after menopause. The exact cause is not yet known, but researchers believe there may be several potential contributors to this phenomenon.

Estrogen Levels

The most widely accepted explanation for post-menopausal fibroid growth is the fluctuation of estrogen levels in the body. During pre-menopause, decreased estrogen levels cause fibroids to shrink while high levels of estrogen result in increased size or new fibroid growths. After menopause, some women have been found to have sporadic spikes in their estrogen levels which may contribute to increased size or formation of new fibroids.


Genetics has been identified as another possible contributor to post-menopausal fibroid growth because it determines how each individual woman’s body responds to hormonal shifts during this time. Some women may be more likely than others to develop fibroids due to genetic factors outside of their control such as heredity and ethnicity (African American women are twice as likely as Caucasian American women).

Hormone Replacement Therapy

Hormone replacement therapy (HRT) is a treatment option often used by post-menopausal women seeking relief from hot flashes and other symptoms associated with decreasing hormone levels. While HRT has proven effective for these issues, studies suggest that it may also increase the risk for developing some cancers, including uterine cancer caused by uncontrolled growth of certain types of cells within a tumor (which could include the growth of certain types of fibroids). It is important for any woman considering HRT to discuss the risks with her doctor first before making a final decision about her health care plan.

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Diet & Lifestyle Changes

In addition to medical treatments like HRT, making lifestyle changes such as altering diet and exercise habits may also help reduce the risk for post-menopausal uterine changes like fibroid growths or abnormal cell formations within them. Eating foods rich in antioxidants like berries, nuts, leafy greens and colorful vegetables can help support healthy cell development while avoiding processed foods can help regulate hormone balance naturally within the body and reduce inflammation caused by poor dietary choices – both factors which will bolster your fertility protection efforts against unwanted uterine changes since menopause began! Additionally increasing physical activity through low impact activities like walking or swimming will boost circulation throughout your body so essential nutrients reach cells more effectively which further supports overall health during this transitional period too!

Ultimately deciding how best handle symptom management during menopause is up you – so always consult your doctor when making personal health decisions!

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