After a hysterectomy you no longer have periods and you cannot have children. The uterus is a reproductive organ, so care should be taken before removing it. Hysterectomy can be done if there is no requirement for childbearing, if you are older, and if there are indications for removal. If younger and not yet fertile, it is best not to remove the uterus and it can be treated conservatively. If surgery is required because of fibroids, myomectomy can be performed to preserve the uterus. If the dysmenorrhea is caused by fibroids, a menstrual ring can be placed or medication can be given. When the uterus is removed and menopause is reached, estrogen only can be given for hormone replacement therapy, and progestin is not needed. Because the uterus has been removed and there is no potential risk of endometrial cancer, progestin supplementation is not needed.