I have an 8 cm intramural fibroid, a 2.5 cm fibroid, and spots that may become fibroids, w/pain, long periods, & pressure. hysterectomy or myomectomy?

Depends: If you've completed childbearing and/or this is not relevant and you don't want to deal with the symptoms anymore; hysterectomy for definitive treatment is reasonable. Of course, prior to finalizing any, please get with your doctor about risks, benefits and alternatives. If you've not completed childbearing and/or want to retain the uterus for other reasons; the myomectomy would be the way to go

Myo vs Hysterectomy: The answer to your question lies in your desire for fertility. Myomectomy is generally performed for women who want to preserve their fertility & the fibroids may be causing miscarriages. It's not the best choice for a patient with pain and heavy bleeding because it may not solve that. If you are done with childbearing hysterecomy is less complicated and will give you better symptom relief.