Multiple fibroids are found after menopause, and the fibroids do not shrink, but persist or get bigger gradually, which requires symptomatic treatment, including myomectomy or total hysterectomy. The fibroids should gradually shrink or atrophy because the estrogen and progesterone have been reduced and there is no cause for the growth of fibroids. However, if there are multiple fibroids at this time, the fibroids are not shrinking and gradually increasing in size, it means that the fibroids may have degeneration, or the estrogen and progesterone levels in the body are abnormal, so surgery may be an option.