Uterine fibroids can, in most cases, be followed and watched. This is particularly true for older women. The intervention you choose, if any, will depend on your symptoms and age. One of the most common symptoms of uterine fibroids is increased bleeding with menses. If the cause of increased bleeding is known to be a fibroid tumor impinging on the uterine cavity, (a ‘sub-mucous’ fibroid), this can be followed by pelvic exams and ultrasounds. In addition, attention to diet by increasing iron, folate , and vitamin B12 sources can help prevent anemia , which is due to blood loss.