My mother used to have fibroids, ovarian cysts, endometreosis, you name it. She had her hysterectomy when she was about 30, and had her ovaries removed when she was about 40 because they had stopped functioning entirely and were totally covered in cysts. She said she felt a LOT better after she got over having her hysterectomy. I think she's been feeling better since getting her ovaries out as well, seeing how now she's on hormones now, but before she was having to do without because her ovaries didn't function. If you don't plan on having more kids, getting all of that stuff out may be the best way to go; eliminates future problems.