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Benefits, Harms, and Costs: The majority of fibroids are. asymptomatic and require no intervention or further. investigations. For symptomatic fibroids such as those causing. menstrual abnormalities (e .g . heavy, irregular, and prolonged. uterine bleeding), iron defficiency anemia, or bulk symptoms. (e .g ., pelvic pressure/pain, obstructive symptoms), hysterectomy. is a definitive solution. However, it is not the preferred solution.
There are various conditions that can be treated by hysterectomy. 1  You may need a hysterectomy if you have: 2  menorrhagia â heavy or prolonged menstrual periods. 3  dysmenorrhoea â painful periods. 4  fibroids â non-cancerous tumours of the uterus. 5  cancer of the uterus, cervical cancer or ovarian cancer.