A 45-year-old presents for a preoperative visit. She reports regular menses that have become increasingly heavy in the past year and have not improved with hormonal management. Three weeks ago, she received a transfusion in the emergency department where imaging was notable for uterine fibroids. She received counseling on treatment options and desires hysterectomy. Her history is remarkable for two full-term vaginal deliveries. She has no history of abnormal cervical cytology or sexually transmitted diseases. Her past medical history is significant for exercise-induced asthma and surgical history for tonsillectomy. She is currently taking combined oral contraceptives, multivitamins, iron, and calcium with vitamin D. She is a non-smoker, does not drink alcohol, and is sexually active with one female partner. She reports a penicillin allergy characterized by the development of hives during prior treatment for a urinary tract infection 10 years ago.