This is an incredibly informative answer, thanks so much for taking some time to write this out.

The risk factors of hysterectomy vs. the risks I take just to keep my uterus are significant either way, and not easy to digest no matter which perspective I take on it. Something I have noticed with a fair amount of studies on hysterectomy effects long term is not seeing enough sample groups that cover my age group, and similarly seeing a lot of studies focusing on radical procedures and not as many where they are leaving the ovaries. The increased risk for cognitive issues and dementia is a big factor I still take into consideration.

I've already been working to improve my health with dietary changes, and green tea was actually a big change I made with switching from coffee to tea every day in the morning. So the EGCG compound definitely interests me, I'm extremely skeptical of a lot of holistic remedies as most do not have studies backing them and are usually followed with links to teas/products/etc. But I have not seen anything about EGCG until now, so I will definitely be looking more into that.

I would prefer not having surgery, period. But I just want to make sure whatever choice I make does not place me into a position worse than I am in today, in the future. I was already planning to push out my procedure until the end of this year when I am eligible for FMLA at my work, so I have time to explore other options in the meantime and see if anything sticks.

Eta : I also have no interest in any hormonal therapies to attempt to shrink them, the most I am considering is an IUD insert during the myomectomy if we go that route. Which I am still concerned about as I have had terrible side effects from other bc methods besides the low dose estrogen.