26 yr old with fibriods

I found out about the fibriods in the spring of last year. I was 25 then. I'm now finding out that they are more common in women over 30. Right now it's about 6.7cm. it's gotten bigger from when I first found out. I have pretty bad pain. Frequent constipation and urination, painful periods and mid-cycle pain even though I'm on Hormonal birth control pill. So kinda miserable all around.

I'm looking for advice, cos my obgyn doesn't seem to be Team Surgery, more Team wait & see primarily because of my age. How best to advocate for myself? What should I ask for? The pill has helped with anemia to an extent because periods are lighter, but It hasn't helped with the pain, and I'm feeling crazy. I just want this pain to end. Will this actually get better if I 'wait & see'?

For context, I live in Ontario. I'm a Black Woman and multiple women in my family seem to suffer with it as well. Thank you!