A hysterectomy is a pretty big deal and your reproductive organs are important
for life long health. I would opt
for the myomectomy to remove the
fibroids and see how that works. You can always go in for a hysterectomy later if you need one, but can't undo a hysterectomy once it's done. So, I would start with the smallest procedure first.
I am no expert and do not have fibroids, but I do have issues with cysts and endometriosis.