Uterine fibroids in menopause are mainly divided into the following two kinds of cases, the treatment of different cases is different, and cannot be the same. In the first case, fibroids after menopause will shrink slowly with the prolongation of time. Considering hormone-dependent fibroids, it is only necessary to have a physical examination once a year or once every half a year, and regular rechecks can be done, as long as it is not found to be growing, no need for surgical treatment. The second situation, after menopause, the fibroid did not shrink, but still growing, the possibility of uterine sarcoma, once found need to be operated as soon as possible, do not recommend prolonged observation, in order to prevent the emergence of sarcoma without timely intervention, affecting the time of life and quality of life.