Hi, Uterine Fibroids also called Fibromyomas are non-cancerous growths that appear during childbearing years and require treatment only when they cause discomfort, sharp Pelvic pains or Profuse Menstrual Bleeding. You have three fibroids of which the first one is a large one. the type and size of the fibroids are important in deciding the treatment. Usually, upon achieving menopause, fibroids often shrink and bleeding is controlled. If there are multiple fibroids, or a large one or associated with heavy bleeding then surgical treatment would be a better choice of treatment. Fibroids do not need treatment unless symptomatic, however, this big a fibroid does require treatment. Generally, this size of fibroids do not respond to conventional medical treatments, hence surgery is needed. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon