Hi...I had a combined total hysterectomy with overies out/ rectal resection and j-pouch reconscrution this past June. I had problems with my cycle for years and when my gyn wanted to do the th back in 1996 my family and friends talked my out of it. Fast forward 2005. Had stricture in my rectum. Tests and drs opinions through May 2006 when it looked like rectal cancer. Drs said while having the rectal resection, good time for th and get rid of problems there, heavy bleeding, fibroids, pelvic pain and adeno. Had ga for surgery, colorectal surgeon and gyn/oncology surgeon attending. It turned out to be a 6 inch endometriosis mass attached and growing into rectal wall. I cant help but think if I had th in 1996 that I would have my rectum today. Don't fool around with endo. It can travel to other parts of the body. I was lucky I havn't had any menopause symtoms so far. Not on hrt as that can keep any endo cells alive and growing. Recovery wasn't as bad as I heard. A good additude and plenty of knowledge goes a long way. I was in the hospital 6 days. Three days after I was home I only needed tylenol. They incouraged walking next day after surgery. Walking helps the healing. Now I am so glad I had the operation. No more planning my days around my periods, pain gone. I have my life back. I take vitamin supplements for my bones. Recovery is different for everybody. At 6 weeks I was told by drs okay to resume nomal activities. Your body tells you if you try to much to soon, just listen to it. Good luck. I wish you all the best.