I'm 38, with fibroids also.
First, give yourself complete permission to not have a hysterectomy. You don't have to. There's no disgrace in backing out. You do totally have a choice. You can live with your current situation. You can try changing your diet, or hormones, or have one of several procedures to deal with fibroids.
That said, fibroids don't often get better on their own. And if you're likely to need a hyst at some point, why not just do it now and enjoy the rest of life without the hassles and worries. Or so my reasoning goes, anyway.
While you're writing up your list of pros and cons (which I think is a great idea) be sure to take into account the "risks and possible complications" of *not* having it done. Some I've come up with are the possibility of one of several kinds of cancer (not in my family, but...), hemorraging, anemia, weakened immune system (everything I've caught in the past 3 years has really wiped me out for weeks), reduced interest in sex due to pain and cramps, possibility of developing relationship troubles, increased likelihood of getting in an accident of some sort due to being tired and spaced, the health risks of not being physically active (and I'm often not, 'cause I don't feel good), etc. I'm sure you have a few that suit you particularly well. Maybe think of the careers you can't have. I've considered park ranger type jobs lately, but there's no way I could be away from the darned bathroom out doing trail maintenance, for instance. There's lots of stuff the bleeding, pain, and fatigue will keep me from doing in life.
Also try this - my DH and I just did a little math
last night. He was asking me if I was sure I wanted to go through with this, and be out of commission for several weeks. Try comparing the time you'll be suffering from pain, cramps, fatigue, etc.
Here's the formula:
Subtract your age from the age at which you think you might go through menopause. In my case Mom hit it at 55. I'm 38. That's 17 years more to put up with this.
17 years is 204 months. So that means at least 204 periods (more, if you stick with 28 days, but let's use months for round numbers).
I was being conservative, and estimating that I feel bad enough to interfere with thing I want to do 5 days/period. That's 1020 days! I actually feel bad more like 7-10 days, but that's just the really bad days.
Let's be pesimistic, and say you take 8 weeks to feel pretty good, and get back to regular activity after a hyst. That's 56 days.
I figure feeling bad for 56 days vs. 1020 is a pretty good trade off!
Just for fun, I did the math
on the 24 year old woman who posted here recenty (sorry, I forgot your name). If she would naturally hit menopause at 55, then she has 31 years, or 372 months. If she'd be out of sorts for 5 days/month that's 1860 more days of that.
Plus there's the expense of birth control, pads, tampons, sheets, annual exams, days off work, not to mention all that chocolate!
I sure wish that my insurance approval would hurry up! It's going to be a crampy Christmas otherwise.