Hi there Charlie63 &
We are so very glad to have you here, and want you to know that we are all here to support you throughout your journey. I wanted to share a little bit about myself, as Mary did, and then also provide you with some information and links to explore on the website.
I was 43 when I had my LSH with removal of both ovaries and an appendectomy in June of this year--I too had problems with heavy bleeding lasting 17-20 days a month, and in the few months prior to my surgery I began having cycles back-to-back, with only about 3 days in between. My doctor suspected adenomyosis in my case, and this was confirmed upon pathology after my surgery.
As for the removal of my ovaries, that was not an easy decision, because I am unable to take hormone replacement therapy due to a history of bilateral pulmonary emboli. However, I had a long history of recurrent ovarian cysts, and many of them were of the hemorrhagic cystic mass variety (right ovary worse than left). These cysts eventually would reabsorb or rupture, and when they ruptured, it caused a great deal of back pain (rather atypical, not pelvic pain). Due to the suspicious nature of the cysts, however, it was agreed that removal of both ovaries was in my best interest. My doc(s) never did do a CA-125 for me, feeling that it would be positive for perhaps other autoimmune reasons, thus alarming me.
Now, in your situation: you need to have a good, long talk with your doctor and weigh your options carefully. If you do not feel satisfied with the answers, there is nothing wrong with seeking another opinion. Due to your family history and current situation, you have many factors to consider. Please do gather all the info you feel is necessary and write out a list of questions to go over with your doctor (I know that when I go to any doctor, I freeze up and forget things!)
I would like to share with you, and encorage you to read through a couple of sections of the website, if you have not already done so. The first is our pre-op resources, which contains a wealth of information, including two articles about whether or not to keep your ovaries:
The next is a link to the hysterectomy options:
Please do keep us posted, and please feel free to ask all the questions that you need to--if indeed you decide on surgery, I would encourage you to add all of the information to your profile, including the surgery date, then post in the pre-op forum of the website.
We look forward to hearing more from you, and I wish you the absolute best in this decision-making process. Please take care.