--- title: "Fibroids & Menopause in Black Women | Pause + Reset" description: "Black women are disproportionately affected by fibroids. 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Here's what to expect.", "datePublished": "December 8, 2025", "dateModified": "December 8, 2025", "author": { "@type": "Person", "name": "Dr. Nina Ross", "jobTitle": "MD, Functional Medicine Physician", "worksFor": { "@type": "MedicalOrganization", "name": "Pause + Reset" } }, "publisher": { "@type": "Organization", "name": "Pause + Reset", "logo": { "@type": "ImageObject", "url": "https://pausereset.com/logo.png" } }, "image": "/assets/article-black-women-B6h5cYo0.webp", "mainEntityOfPage": { "@type": "WebPage", "@id": "https://pausereset.com/articles/fibroids-menopause" } } ] --- [![pause + reset](/assets/logo-Cj2twgJt.webp)](/) Symptoms Treatments Atlanta [About](/about) Book ![Fibroids and Menopause: What Black Women Need to Know](/assets/article-black-women-B6h5cYo0.webp) [Back to Articles](/articles) black-women # Fibroids and Menopause: What Black Women Need to Know Fibroids are far more common in Black women—and menopause changes the picture. Here's what to expect. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp) Dr. Nina Ross December 8, 2025 7 min read Uterine fibroids affect up to 80% of Black women by age 50—significantly higher than other groups. As you approach menopause, understanding how these common growths will be affected is important for your health planning. ## Why Fibroids Are More Common in Black Women Research points to several factors: - Genetic variations that increase susceptibility - Vitamin D deficiency (more common in Black women) - Higher exposure to certain environmental factors - Differences in hormone metabolism Black women also tend to develop fibroids at younger ages, have more and larger fibroids, and experience more severe symptoms. ## What Happens to Fibroids at Menopause Because fibroids are fueled by estrogen and progesterone, they typically shrink after menopause when hormone levels decline. However: **During perimenopause:** Fluctuating hormones can cause fibroids to grow unpredictably. Symptoms may temporarily worsen before improving. **After menopause:** Most fibroids shrink significantly. Symptoms like heavy bleeding resolve as periods stop. **With hormone therapy:** HRT may prevent fibroid shrinkage or cause slight regrowth, though usually not enough to cause problems. This should be discussed with your provider. ## Managing Fibroids During the Transition **Medical management:** Hormonal medications can help control symptoms until menopause brings natural relief. **Minimally invasive procedures:** Options like uterine artery embolization or focused ultrasound can reduce fibroids without major surgery. **Surgical options:** For severe cases, myomectomy (removing fibroids) or hysterectomy may be considered. **Watchful waiting:** If symptoms are manageable and menopause is approaching, waiting for natural shrinkage may be reasonable. ## Hormone Therapy Considerations Having fibroids doesn't automatically rule out hormone therapy, but it requires careful consideration and monitoring. Low-dose or local estrogen options may be preferable. Discuss your specific situation with a provider experienced in managing fibroids. ![Dr. Nina Ross](/assets/dr-nina-medspa-v2-DCgjiRes.webp) Dr. Nina Ross ND, Ph.D · Medical Director Board-certified in functional medicine, Dr. Ross helps women optimize their hormones and reclaim their health. ### Ready to feel better? Book a free 10-minute call to discuss your symptoms and options. [Book Free Call](/understand) ## Related Articles [ ![Menopause in Black Women: What Makes It Different](/assets/article-black-women-B6h5cYo0.webp) black-women ### Menopause in Black Women: What Makes It Different Black women reach menopause earlier and experience more severe symptoms. Here's why—and what to do about it. ](/articles/black-women-menopause) [ ![Being Your Own Advocate: Getting the Menopause Care You Deserve](/assets/article-black-women-B6h5cYo0.webp) black-women ### Being Your Own Advocate: Getting the Menopause Care You Deserve Too many Black women are dismissed or undertreated. Here's how to navigate the system and get real help. ](/articles/healthcare-advocacy) Ready to feel like yourself again? ## Let's talk about what you're experiencing Book a free 10-minute call. We'll answer your questions and help you choose the right path forward. [Free 10-Min Call](/free-call) No commitment · No pressure · Just answers [pause + reset ](/) Personalized hormone optimization and functional medicine for women who refuse to "just deal with it." 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