hysterectomys usually arent advised unless its necessary like from a problematic birth and you shouldnt have more children or cancer etc... its very stressful on your body and obviously not natural. plus i would be worried that if youre only 39 it would send you into menopause or something. i would ask about how that would effect your hormones first. maybe you should take birth control like yaz. that is supposed to basically clear up your pmdd, acne and tons of other stuff. ask your doctor about yaz. its low dosage so the risk of birth control causing breast cancer shouldnt be as high. have them do a mammogram and see what your risks for breast cancer first though. do you have a family history of it? usually once you get into middle age i think they try and get you on hormone treatment anyways.