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Also known as: Uterine myoma · Fibroid ·

The Department of Health’s Family Health Service describes uterine fibroids as very common. The great majority are benign, are unrelated to uterine cancer, and do not increase the chance of cancer later. Most women with fibroids have no symptoms, and fibroids generally shrink gradually after the menopause.

Hong Kong has 502 registered Obstetrics & Gynaecology doctors.

Source: Medical Council of Hong Kong register · read 2026-09-20

ok.med editorial team ·
Compiled by the editorial team from the sources listed below. Not reviewed by an individual doctor.

Are fibroids related to uterine cancer?

No. The Family Health Service is direct about it: the great majority of fibroids are benign, unrelated to uterine cancer, and do not increase the chance of cancer in future.

That sentence carries three separate assurances: the fibroid itself is benign, it is not the same thing as uterine cancer, and having one does not raise the chance of cancer later. The third is the most often confused — many people fear something benign will “turn” malignant, and the Department’s wording does not support that worry.

The naming itself causes confusion: 子宮肉瘤 is one of the alternative names for a fibroid, yet in other contexts 肉瘤 can denote a malignant tumour. Which is meant in a particular case is for a doctor to explain.

What are the symptoms of uterine fibroids?

Most often none. The Family Health Service states that most women with fibroids have no symptoms; where there are symptoms, periods are usually heavy, and a minority have period pain.

The symptoms listed by the Department, and what causes them
SituationHow it showsWhy
Most casesNo symptoms at allOften found incidentally during another examination
Where there are symptomsHeavy periods; a minority have period painThis is the commonest presentation
A larger fibroidAbdominal pain or a swollen abdomenA matter of size, not of whether it is benign
Pressing on the bladderNeeding to pass urine more oftenPressure from where the fibroid sits

Medical Council of Hong Kong register

502 Obstetrics & Gynaecology doctors in Hong Kong

All 502 ›

The doctors below are listed from the Medical Council of Hong Kong register. This is not a recommendation, and says nothing about outcomes for this condition. Ask the doctor directly.

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What happens after the menopause?

The Family Health Service states that fibroids generally shrink gradually after the menopause.

That bears directly on management. Because fibroids are mostly benign, mostly symptomless and shrink after the menopause, the Department’s conclusion is that in general they do not need removing: medication to reduce bleeding and pain, and after the menopause they usually shrink. For many women, in other words, time is part of the treatment.

When is surgery actually needed?

The circumstances the Family Health Service lists are specific: heavy bleeding, severe period pain that medication cannot control, a fibroid that is growing, or an effect on fertility.

Worth noticing is the wording of the second — that medication cannot control it. Surgery is not the first step when symptoms appear but an option after medical management has not achieved it. Whether any of these circumstances applies, and which operation if so, is for a doctor to assess; this page makes no recommendation for an individual case.

At a glance

Uterine fibroids: mostly benign, unrelat

Uterine fibroids: mostly benign, unrelated to uterine cancer, usually symptomless, and shrinking after the menopause. The Department lists four circumstances for surgery — heavy bleeding, severe pain uncontrolled by medication, a growing fibroid, or an effect on fertility.
Source: Family Health Service, Department of Health · Read the original ›

How are fibroids usually found?

Because most cases have no symptoms, fibroids are often found incidentally during another examination, or discovered when someone consults about heavy periods.

That means finding a fibroid is usually not bad news but a piece of information. What needs addressing is not its existence but whether it is causing any of the situations the Department lists. The Family Health Service also provides women’s health services, while the Cervical Screening Programme addresses something different — screening for cervical cancer, unrelated to fibroids, and covered on its own page here.

What does the Department of Health say?

Uterine fibroids is one of the women’s health topics the Family Health Service publishes on directly, and its wording is clear on the three things most often worried about: whether they are benign, what symptoms to expect, and whether surgery is needed.

  • The Family Health Service states that the great majority of fibroids are benign, unrelated to uterine cancer, and do not increase the chance of cancer in future.Family Health Service, Department of Health: what are uterine fibroids? · read · (source)
  • The Family Health Service states that most women with fibroids have no symptoms; where symptoms occur, periods are usually heavy and a minority have period pain.Family Health Service, Department of Health: what are uterine fibroids? · read · (source)
  • The Family Health Service states that fibroids generally shrink gradually after the menopause, and that in general they do not need to be removed.Family Health Service, Department of Health: what are uterine fibroids? · read · (source)
  • The Family Health Service lists four circumstances for surgery: heavy bleeding, severe period pain that medication cannot control, a growing fibroid, or an effect on fertility.Family Health Service, Department of Health: what are uterine fibroids? · read · (source)

When should a doctor be seen?

  • Heavy bleeding, or period pain severe enough to disrupt daily life — among the circumstances the Department lists for considering surgery.
  • A swollen abdomen or persistent abdominal pain.
  • Passing urine more often, or difficulty doing so — a fibroid pressing on the bladder can cause frequency.
  • Bleeding between periods, after sex, or any bleeding after the menopause — these are not typical of fibroids and need separate assessment.
  • A known fibroid that is clearly growing, or concern about fertility when planning a pregnancy.

Frequently asked questions

Can a fibroid turn into cancer?
The Family Health Service states that the great majority are benign, unrelated to uterine cancer, and do not increase the chance of cancer later. Individual cases remain for a doctor to assess.
Does it have to be removed?
Usually not. The Department states that in general fibroids need not be removed: medication can reduce bleeding and pain, and they usually shrink after the menopause. Surgery applies where bleeding is heavy, pain is severe and uncontrolled by medication, the fibroid is growing, or fertility is affected.
Why do I have one with no symptoms?
That is the norm. The Department states most women with fibroids have no symptoms, and they are often found incidentally during another examination.
Does it still matter after the menopause?
The Department states fibroids generally shrink after the menopause. That said, any vaginal bleeding after the menopause is not typical of fibroids and needs separate assessment.
Can it affect fertility?
The Department lists an effect on fertility among the circumstances for considering surgery, which indicates it is possible in some cases. Whether it applies, and what to do, is for a doctor to assess individually.
Is it connected to cervical screening?
No. Fibroids and cervical screening concern different parts of the body and different questions. Having a fibroid does not change the screening recommendation, and a normal screen does not mean there are no fibroids.

Sources

  1. Family Health Service, Department of Health: what are uterine fibroids — their nature, other names, symptoms, what happens after the menopause, and when surgery applies. Family Health Service, Department of Health ()
  2. Family Health Service: women’s health services — the scope of local provision. Family Health Service, Department of Health ()
  3. Cervical Screening Programme: who should be screened — cited to distinguish fibroids from cervical screening. Cervical Screening Programme, Department of Health ()
  4. Family Health Service: health information — the overview of women’s health questions. Family Health Service, Department of Health ()

This page is compiled from the Hong Kong official sources listed above. It is general information only — not a diagnosis, a treatment recommendation or medical advice, and no substitute for seeing a doctor. If you are unsure or your condition changes, consult a registered doctor.