Pelvic Fibroids. By the fibroids.

Since she has her entire uterus studded with fibroids with the largest being 8 cm she would require hysterectomy as far as ovarian conservation is concerned,post 45 years of age we advise oophorectomy but if patient opts to retain her ovaries she should get a  serum ca 125  done

Plan for hysterectomy and retain her ovaries .

It's not normal to have fibroids, irregular periods  ( early or late), missing periods, spotting between periods, prolonged heavy flow, pains and cramps during cycle, PMS and mood changes before periods, PCOS,  Endometriosis,  fertility issues, tiredness, hair fall,  sleep disturbances, weight issues etc. If it is happening to you,  it's a sign of underlying  hormone  imbalance  which needs further evaluation with blood investigations , scan etc.Good news is that all your problems  can be totally  reversed , not by masking the symptoms  with pills but by addressing  the underlying  cause of the problem and healing it from the ROOT cause. Only surgery without balancing the hormones is of no use as more fibroids can grow . Hope it helps.....