I had a polycystic ovarian disease in my 20's, a presumptive diagnosis of endometriosis in my 30's, and at today's appointment with my sister's excellent gyn I learned I may have fibroids.
My sister had fibroids, a watch was kept on them for about 6 years and by then they'd grown so big the doc was alarmed and although she dislikes recommending surgery she recommended a hysterectomy.
My sister did some research (she's good at that) and found alternatives. A hysterectomy can leave one ovary intact which will take over the hormonal functioning of two ovaries, thereby eliminating the need for hormone replacement. That's the way this good gyn would do it. However, sister hoped to avoid surgery. Embolization worried her because of the "heart attack in the uterus" pain but more so because it can go wrong and mean a trip to ER with horrible sepsis if the "killed" tissues stay and rot instead of sloughing away.
The alternative she liked, and pursued, is a fairly new procedure: focused ultrasound. Trouble is, being new it's not available everywhere, but the Mayo does it, for one, and they tell all about it here:
http://www.mayoclinic.com/health/uterine-fibroids-treatment/MM00705
That treatment worked great for her, reducing her fibroids dramatically and requiring no anesthesia, no hospital stay, just an office visit. I think women need to know about this and demand it so it will become more commonly available.
We'll see how my situation goes: exploratory ultrasound scheduled for Monday to see whether it looks like fibroids or endometriosis or what. I'll be hoping to hang on to my uterus because I don't want to take chances with the intricate dance of the hormones.