Prior to my very necessary Total Hysterectomy at age 34, I had much the same issues. Major clots, horrible pain, and several very large cysts that had to be drained. My particular syndrome (immotile cilia syndrome, Kartagener's Syndrome, and PCD) was to blame for a lot of it. I was never able to even get pregnant, and was cautioned by my endocrinologist that if I did, the renal hypertension would most likely kill my and any developing fetus. That was enough info for me. Plus, having 1/2 a liter to a liter of fluid drained off every few months was very hard on me in addition to everything else. I still question myself over 10 years later if I made the right decision. Going through menopause at 34 is no joke.