Hello and welcome, I completely understand your problem. I understand that you have already undergone endometrial ablation repeatedly, so chances of having a pregnancy are extremely low [ ablation destroys the uterine lining and so pregnancy cannot occur]. Also if there are big fibroids then again getting pregnant may be a problem. So denying a hysterectomy in view of future pregnancies cannot be an issue as fertility is already compromised. The only thing that I could not understand was why a myomectomy was not done [ only removing the fibroids]. It would have helped controlled bleeding and also improved chances of pregnancy. Removing the ovaries will produce menopausal symptoms and increase the risk of thin bones, signs of ageing, heart disease and blood pressure to a small extent. Here at my set up, we give hysterectomy as an option if others treatments have failed. It relieves the pain and bleeding. However it is difficult to comment upon the need for surgery unless a complete examination has been performed. Another thing that you must know is that the surgery will not be an easy one considering the adhesions and big fibroids. But final decision can only be commented after an examination. So you will have to make up your mind for that. You can get a full hysterectomy here in India with all documentation. You are welcome to visit my place also if you want to. Also it would be helpful if you could contact any other doctor there and get a second opinion about the possibilities. I understand that you have had a lot of trouble and are tired of the repeated therapies.Just get a second opinion and maybe myomectomy may be possible and your symptoms will decrease. I am Dr Madhuri a Consultant Obstetrician and Gynecologist and will be helping you with your queries. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist