Most women will not bleed or have menstrual cramps on this program, and therefore the fibroids will not cause a problem. The bleeding from fibroids can be sufficient to make a woman anemic, and it may not be possible to keep up by taking extra iron. Menstrual cramps can also be almost unbearably debilitating. In either case, this would be an appropriate reason for doing a hysterectomy. Since you will probably be entering menopause within the next few years, you have to weigh the discomfort against the problems of surgery.
Hysterectomies are generally routine, and mortality or severe problems after the surgery are few.
Pain during intercourse may persist for quite awhile. Some women feel that they have lost a lot of their sexual pleasure and ability to have orgasms during intercourse because of the procedure. In Europe, it is common to do a supracervical hysterectomy, leaving the cervix of the uterus and its associated nerves intact, which they believe maintains sexual pleasure. I know of no careful research to prove or disprove this theory, but the nerve supply to the area does make it a plausible one. It is also possible to remove only the offending fibroids, if they are few, thereby preserving most of the uterus and its nerve connections.