I don't know what to do.

I am 56 and I am 3 years into menopause. In Dec 2010 right at the start of menopause they found a left ovarian cyst and a mid center uterine fibroid by pelvic ultrasound because I bled after one year cessation of periods. Gyn checked my blood for cancer cells and it was fine, so she decided to go on a wait and see approach.

Almost 4 years later just recently I started having some unexplained pelvic pain with bladder symptoms (no bleeding) and it prompted me to see my gyn again. She ordered another pelvic ultrasound and now I have multiple ovarian cysts on both ovaries and the uterine fibroid has grown just a little. It went from 2.7cm to 3 cm in size. A small increase. I also have a retroverted uterus. Because my pain and bladder issues improved she said to have another ultrasound in 6 months.

I just saw my pdoc last week and explained that I am very moody and irritable as I also have MDD and GAD and he attributed it to my depression. I didn't think that it might be my hormone levels.

When I bear down to urinate at night I have bladder pain again. I just made another appt with my gyn and I see her on Monday to get my hormone levels checked.

I am torn because I am wondering if I need a hysterectomy. These new cysts have occurred after menopause and the fibroid has not shrunk but grown a little. If I am going to need surgery eventually, I want to get it done now while I am still rather young. This wait and see approach and get another ultrasound in 6 months worries me. Ovarian cancer can have very vague symptoms and it can spread. Chances are it is not cancer but also I have no use for these organs anymore and repeating tests is not something I want to keep doing.

Do I have the right to ask for a hysterectomy? Is this a viable option?

I realize that you cannot advise me of what to do, but any comments, suggestions or hearing your own experience would greatly be appreciated.