Are they causing any problems?
Pain? Irregular/heavy/prolonged periods?
If not, then is just leaving them alone and monitoring periodically for any changes an option?
Progesterone cream is a daily habit that you have to keep up and for me at least it got annoying and the cream got expensive.
Some women like it.
http://www.obgyn.net/fibroids/focus-fibroids
If they are causing you a lot of discomfort then maybe a hysterectomy (uterus only, leave the ovaries alone) might be a perfect solution for you.
If you still have your ovaries then the menopause hot flashes will come when every they eventually shut down on their own.
A total hysterectomy would put you into menopause immediately.
Menopause (unless surgically achieved) doesn't happen over night.
It comes gradually -sometimes for a very long time - before your period stops completely and if it's been a whole year only THEN have you achieved full menopause.
My peri menopause lasted 15 years - and I think I would have liked to happen more quickly.
For a very long time I never knew when my period would come - would skip, would come twice, would be heavy or light - and the hot flashes, night sweats and sleepless nights were awful.
If my doctor would have given me the option of a hysterectomy - I would've said
"Heck yes!".
As it is, I hit menopause at 51 and I love having all the mess, bother, uncertainty all over with.
There's a site called HysterSisters that will have a lot of good information for you.