I am 42 years old mother and wife and have suffered from PMDD since I started my period at the age of 17. In addition to this, I have sufferred with severe bleeding during my period which has caused me to be Anemic and has never subsided, despite taking prescribed Iron pills. Last year my Gyno found a Fibroid Tumor on my Uterus that was benign and as of yesterday's check-up, it has grown AND many more have formed. I have, for years, had lower abdominal pain and pressure, always feel like I have to urinate, sex is extremely painful, and my PMDD has worsened. Last year, we tried to get approval from my HMO for a Hysterectomy but was told to first go on some form of birth control before they would even consider it. To make a long story short, birth control, with or without hormones, has never helped. We are, one again, requesting the Hysterectomy from my HMO. I guess my biggest concern is do you foresee this as a good choice or am I and my Doctor missing something better out there? Thank you.