Do you normally need a hysterrectomy when have large fibroid 12cm that keeps on making bleed?

Not necessarily. Depending on your individual circumstances, there may be alternative treatment options available besides a hysterectomy to manage large fibroids and irregular bleeding. It is important to consult with a healthcare professional to discuss your specific situation and explore all the available options before deciding on the most appropriate treatment approach.

Here are some alternative treatment options that may be considered for large fibroids:

1. Medical management: Certain medications, such as hormonal birth control pills or injections, can help control heavy bleeding and manage the symptoms associated with fibroids.

2. Uterine artery embolization (UAE): This minimally invasive procedure involves blocking the blood supply to the fibroids, causing them to shrink and reduce bleeding.

3. Focused ultrasound surgery (FUS): This non-invasive technique uses ultrasound energy to target and destroy fibroids while preserving the surrounding healthy tissue.

4. Myomectomy: This surgical procedure involves removing the fibroids while preserving the uterus, which may be an option if you desire to have children in the future.

The decision to undergo a hysterectomy should be made in consultation with your healthcare provider, considering factors such as the size and location of the fibroids, the severity of symptoms, your reproductive plans, and your overall health. A hysterectomy is a major surgery and should only be considered when other treatments have not been successful or are not appropriate for your situation.