I had a hysterectomy for a very “high grade abnormality” - I talked to 2 OBGYNs that I knew from my job (hospital RN) and it was the recommended treatment. I was told it would eventually become uterine cancer if I didn’t.
I have used HRT since 2014 as I was already menopausal and the hot flashes and night sweats were horrible.
I do see a GYN yearly.