Fibroids will often shrink after the menopause, as hormone levels in your body change. If you have fibroids, but you're not affected by any symptoms then you don't need treatment. However, if you do have symptoms, your doctor can recommend the right treatment for you. Treatment options include: over-the-counter pain relief like ibuprofen the contraceptive pill which can reduce heavy menstrual bleeding medication taken only during your period that can reduce heavy menstrual bleeding medicines that can shrink fibroids by lowering your oestrogen and progesterone levels in rare cases, surgery