Should i have a hysterectomy? i have had 6 blood transfusions in 7years. i am 33yrs old with one pregnancy/one child. i have symptomatic uterine fibroids and iron defiency anemia. my blood levels normally run between 6.9 and 7.3. the lowest has been 5.8

This : This is a very delicate situation that you need to thoroughly discuss with your doctor. The reason that it's a big decision for you is your age in regards to wheter or not you want more children. It sounds like your fibroids have caused a lot of medical problems for you (namely severe anemia) and i'm sure pain. If you are sure that you want no more children then the option of having a hysterectomy will be an easier one; however if you do want more children, then there are other possible treatment options that can possiblity treat your fibroids while at the same time preserving your fertility.

There are other q: Options to consider before hysterectomy and most are incompatible with those desiring future fertility. Endometrial ablations are one option. A Mirena (levonorgestrel) iud can help reduce menstrual flow. Uterine artery embolization is another option but not all patients are good candidates depending on the location of their fibroids. Speak to your doctor but all options r availble w/ hysterectomy being definitive.

Short answer no: Losing your uterus at such a young age will likely have negative consequences which are completely avoidable by undergoing uterine fibroid embolization (ufe) instead. Your uterus is important to you psychologically, sexually, and there is increased osteoporosis and heart disease risks with hysterectomy. I'd find an interventiomal radiologist with particular experience in ufe and keep your parts!