My reason for a total hysterectomy is probably different. I had endometriosis. Since the surgery 5 yrs ago I had chronic pelvic pain, and ob/gyns did not know why. I tried 3 of them and they seemed indifferent to me. I tried a GI doctor and he said I was having muscle spasms due to damaged nerves caused by the surgery. I took Advil to keep it in check. Then late 2018 and early 2019 I started having unnatural bleeding and doctors again didn't know. But finally my general doctor (a woman) found it and thought it was an endometrial breakthrough. She called the ob/gyn and told her to cauterize it. I don't know what the ob/gyn did, she used some kind of grey medicine. But it stopped the bleeding and the chronic pelvic pain. I think the chronic pain was the endometriosis in process of breaking through.