Thank you for your question. The real issue that has arisen in this scenario is the abnormal bleeding that has occurred during your age range. It would be a mistake to believe that the period that occurred was related to the fibroid seen on CT scan. CT scans can be misleading when reading from the pelvis. Ultrasound or MRI is actually more helpful when evaluating the pelvis with imaging studies. A D&C (and with me, an associated hysteroscopy) is done in women past the age of 35-40 to rule out uterine cancer when abnormal bleeding occurs in this age group. If uterine cancer is involved, the type of hysterectomy performed needs to be altered to make sure postoperative therapy is appropriately recommended. In addition, the ultrasound characteristics of the ovarian cyst need to be determined, in case further evaluation for ovarian cancer needs to be performed. The recommendations you have received from your surgeon are valid and you need to see a gynecologist for further evaluation. Depending upon the results, these findings may be much more important to your future health than a ventral hernia. I hope this answers your question. I am available for further consultation if needed.