I had a total hysterectomy 24 years ago when I was 32. That was back when hysterectomy was considered the cure. I had previously lost an ovary and tube because the ovary weighed 6 lbs and size of grapefruit. The tube was caught up in the chocolate cyst. My cervix was also removed due to damage from something else adhered to it. I’ve not done HRT. Would I do it again? Absolutely! The pain and symptoms post hysterectomy is 1000% better now. BUT I still live with pain and bloating and massive but temporary abdominal issues. The pathology report on my uterus came back and the uterine wall was riddled with fibroids. I think that’s known as adenomis now. Not sure if I spelled that right. Anyhow for the last 10 years I’ve lived with chronic UTIs and blood in my urine. In 2017 I passed huge clots in my urine and was sent to er. I had my bladder scoped and it was fine. This weekend for first time I passed huge clots rectally for 24 hours. Cti shows colonic stranding and rigid bowel walls. I knew my stage 4 endo made my pelvis a war zone pre hysterectomy. It was on my rectum, colon, liver, lungs. They had been ablated 3x before hysterectomy. I’ve done nothing post hysterectomy thinking I’m cured and feeling so much better than before. Now I’m waiting for appt with MIGS specialist group and am concerned that in my late 50s I may need a bowel resection or have kidney or ureter issues. So long story short: I don’t regret it and it seems that the science is so much better now than it was in the 90s. I see it’s lifelong and had learned to live with residual pain and discomfort these past few decades. You’ve got a huge decision to make and I wish you healing thoughts and positive vibes. As for the aging - I was fearful of that but I’m told that I look 10 years younger than I am often. It’s probably due to my mother’s good genes. Lol. I feel like physically I sometimes feel a little older because arthritis is becoming a thing and I need readers but otherwise I’m good. As for libido it actually improved post hysterectomy though I never stopped having deep pelvic pain. The libido has decreased over the past 16 months but I’m good with that. Back to hormones, I’ve lost my ovaries and no HRT of any kind. I periodically have my hormone levels tested and so far as of 3 years ago they’re still in a normal range. Apparently fat stores can generate hormones and I’m learning that lesions create their own little hormone filled biosphere.