I've used Seasonale for years. For the most part, I love it. But still, I'm going to try to talk my GYN into a hysterectomy at my next physical. I'm 48 and still have horrible cramping and back pain with my periods, even though I only have 4 periods a year. The main reason though, is because my aunt was diagnosed this past spring with ovarian cancer. With my aready strong family history of colon cancer, and now the history of ovarian cancer, I'd just as soon get rid of the darn thing and get it over with.