I have not had a hysterectomy however I told my surgeon I should have had him take it all out because I have issues with the pouch every time I have my period. He told me a hysterectomy would not be good because of pelvic floor disfunction with not having my colon as well. However, while I have no plans to have one I am interested to hear if anyone with the pouch has had one. I'm sure in some cases it's necessary. Hope you feel better and get some good solutions from your gynecologist.