Can Fibroids Go Away on Their Own?
Uterine fibroids are a common condition that affects millions of women, yet many are unsure about their long-term effects. One of the most frequent questions women ask is whether fibroids can go away on their own. While some fibroids shrink or become asymptomatic over time, others may persist or grow larger, causing ongoing symptoms. Understanding how fibroids behave, what influences their size, and when to seek treatment can help women make informed decisions about their health.

The Natural Course of Fibroids: Do They Shrink or Disappear?
Fibroids are noncancerous tumors that develop in the muscular wall of the uterus. They vary in size, location, and the symptoms they cause. Some fibroids remain small and never require treatment, while others grow and lead to discomfort, heavy bleeding, or pressure on surrounding organs.
In some cases, fibroids shrink naturally, particularly if their blood supply is reduced or hormonal fluctuations cause them to decrease in size. For example, small fibroids may go unnoticed and eventually shrink on their own, especially after a woman’s reproductive years. However, larger fibroids or those that are causing significant symptoms are less likely to resolve without medical intervention.
The likelihood of fibroids disappearing without treatment depends on several factors, including hormonal changes, overall health, and lifestyle influences. While some women may experience natural fibroid shrinkage, others will need treatment to relieve their symptoms and prevent complications.
How Menopause Affects Fibroid Growth
One of the most significant factors in fibroid behavior is menopause. Since fibroids grow in response to estrogen and progesterone, their development is closely tied to a woman’s reproductive hormones. During menopause, estrogen levels naturally decline, often leading to a reduction in fibroid size.
Many women who experience fibroid-related symptoms before menopause find relief once they transition into menopause. As estrogen production decreases, fibroids typically stop growing and may shrink. In some cases, fibroids become small enough that symptoms disappear entirely. However, this is not always the case, as some women continue to experience symptoms even after menopause.
Hormone replacement therapy (HRT), which is sometimes used to manage menopausal symptoms, can also affect fibroids. Because HRT contains estrogen, it may slow fibroid shrinkage or even cause fibroids to grow again. Women considering hormone therapy should discuss the potential impact on fibroids with their healthcare provider.
Lifestyle Factors That Influence Fibroid Size
Although hormonal changes are the primary driver of fibroid growth, lifestyle factors can also play a role in their development and progression. Maintaining a healthy lifestyle may help slow fibroid growth and reduce symptoms. Some of the most influential factors include:
- Diet: Research suggests that diets high in red meat, processed foods, and sugar may contribute to fibroid growth, while a diet rich in fruits, vegetables, and whole grains may help regulate hormones and reduce inflammation. Foods that support liver function, such as leafy greens and cruciferous vegetables, can also aid in hormone balance, potentially influencing fibroid behavior.
- Body Weight: Excess body fat can contribute to higher estrogen levels, which may encourage fibroid growth. Maintaining a healthy weight through regular exercise and balanced nutrition can help regulate hormone levels and reduce the risk of fibroid enlargement.
- Stress Management: Chronic stress can disrupt hormonal balance, leading to increased estrogen production. Practices such as yoga, meditation, and deep breathing exercises may help manage stress and support overall reproductive health.
- Environmental Toxins: Certain environmental chemicals, known as endocrine disruptors, can mimic estrogen in the body and contribute to fibroid growth. These chemicals are found in plastics, pesticides, and some personal care products. Reducing exposure to these substances may help support hormonal balance.
While lifestyle changes alone cannot eliminate fibroids, they may play a role in managing symptoms and slowing fibroid growth. For women who experience mild symptoms, adopting a healthier lifestyle may be enough to improve their quality of life without medical intervention.
When to Seek Medical Treatment for Fibroids
Although some fibroids shrink on their own, others continue to grow and cause significant discomfort. It’s important to recognize when medical treatment may be necessary. Women should consider seeking treatment if they experience:
- Heavy or Prolonged Menstrual Bleeding: Excessive menstrual bleeding can lead to anemia, fatigue, and other health concerns. If fibroids are causing heavy bleeding that interferes with daily life, medical intervention may be needed.
- Pelvic Pain or Pressure: Large fibroids can press against surrounding organs, causing pain, bloating, and discomfort. If fibroids are contributing to chronic pelvic pain, it may be time to explore treatment options.
- Frequent Urination or Constipation: Fibroids that press on the bladder can cause frequent urination, while those near the intestines may lead to constipation or difficulty with bowel movements. These symptoms can significantly impact daily comfort and may indicate the need for treatment.
- Difficulty Getting Pregnant: While not all fibroids affect fertility, some can interfere with conception and pregnancy. Women who are trying to conceive and suspect that fibroids may be contributing to fertility challenges should consult with a specialist.
- Symptoms That Worsen Over Time: If fibroids continue to grow or symptoms become increasingly severe, treatment may be necessary to prevent further complications.
For women who need relief from fibroids, Uterine Fibroid Embolization (UFE) is a minimally invasive treatment that effectively shrinks fibroids without requiring surgery. UFE works by cutting off the blood supply to fibroids, causing them to shrink and relieving symptoms such as heavy bleeding, pelvic pain, and bladder pressure. Unlike surgical options, UFE has a shorter recovery time and preserves the uterus, making it an excellent option for many women.
Reach Out Today
If you are experiencing symptoms of fibroids and are unsure whether they will go away on their own, it’s important to explore your options. While some fibroids may shrink naturally, others require treatment to relieve discomfort and prevent complications. Preferred Fibroid specializes in Uterine Fibroid Embolization (UFE), a safe and effective non-surgical procedure that can help you regain control of your health. Contact us today to schedule a consultation and learn more about how UFE can provide lasting relief.