My periods were always very heavy, with severe PMS. I remember lying in bed for the first two days of every period when I was in high school, my legs propped up, wondering if a person could die from the pain. My periods were never stationary in length; that is, they were never every 21 days, or every 24 days, or whatever "normal" is. They were 21 days, 54 days, 33 days, 42 days, 61 days. Some months I'd have two periods, then I'd skip the next month. Since this was the way my periods always were, I thought this was "normal." All the OB/GYN doctors I talked to over the years were never too concerned, as I always had "a period." They just told me to take Ibuprofen and track them.
Thank goodness I was an excellent period tracker.
My health turned very funny in Feb 2008 and I became very sick. My doctor had no idea what was wrong with me, or what to do with me. Not having answers to my myriad of health problems was one thing; then my periods became wacky (I had just turned 40). Naturally, I assumed I was in pre(peri)menopause and that the weirdness was related to that. My periods became very short and close--19 days, 20 days, 21 days, 18 days, and very, very heavy, with clotting (even in the toilet), as well as short--2.5, 3, 3.5 days--when my periods always, ALWAYS, were 8 days long. I already knew I had a weird period, but then I knew something was really wrong.
Before this happened the end of March/beginning of April, my doctor of 10 years had kicked me out of the clinic and told me to find someone else who could help me with my problem(s), as he had no idea how to help me (in other words, all my lab tests came back normal, so as far as he was concerned, I was "as healthy as a horse" and, therefore, must be a hypochondriac for even insisting something was still "wrong.").
Thankfully, my new primary doctor and OB/GYN took me seriously. The GYN took a whole bunch of tests and discovered my endometrial lining was 14 mm thick (normal is <5 mm)--which is cause for alarm, as cancer likes thick linings. Thank God, my biopsy came back negative for hyperplasia or endometrial cancer. I went ahead and had a NovaSure Ablation done. No hysterectomy, I never have to worry about a period again, no PMS (well, maybe a twinge every now and then), and no more pain! My GYN also did a laparoscopy check and found all my female organs ok, with no fibroids, polyps, Endometriosis, cysts, etc., etc. (I insisted on the lapo, since my mom and sister both have Endometriosis and I wanted to know yes/no if I had it).
If you're concerned about going through a hysterectomy, I would ask about the NovaSure Ablation. I have all my female organs, so I will naturally go through menopause. That was my biggest concern; I did, however, tell my GYN that, if she got in there for the NovaSure and "discovered" something wherein she needed to take out something that I wanted her to "take care of the problem;" I didn't want cancer. Since June 2008, I have felt great.<g>
One more thing; I started seeing an alternative doctor, a M.D. who specializes in Integration Medicine, in August 2008, as many of the problems from earlier in the year still weren't being addressed. She had me take a heavy metals and a nutrient elements test, and I discovered that I not only had heavy metal toxicities, but also was deficient in quite a few nutritional elements that my body needs. Since I've started supplementing and getting my body strong in those deficient areas, I've noticed a big difference in how I feel, and pains that I had that were unrelated to my female problems have since gone away. I also did some food testing and discovered I have a whole slew of food allergies (24 foods). It's another avenue you might want to explore.
If you are having any doubts AT ALL about having a hysterectomy--especially if it will be a complete one--I urge you to do as much self-educating as you can and revisit your doctor and discuss other options. If your doctor isn't open to this, then see another doctor for a second opinion. Going through menopause isn't a barrel of monkeys any way you look at it; having it thrust upon you, or having to rely on artificial means to control it, isn't a barrel of fun, either. Get as many options and info as you can.
Good luck!