I have found in my practice, that if I suppress both
cysts AND menstrual periods with depot Lupron,
and it HELPS, then a hysterectomy likely will too. If is doesn't help, a hysterectomy likely won't. Chronic pain is very poorly understood, and has to do with how the nerves of the body "remember" pain. It also often leads to depression (not vice versa as many doctors would suggest).