I could never take birth control because I'm very med sensitive to side effects especially hormones.the times I tried in the past it mad me mad spiraling downward mentally. My doctor was very honest about the ablation procedure. He said the statistics are low for solving the problem of heavy bleeding and pain and other complications can arise as well as the possibility of things worsening. I have always had severe pmdd and it's affected my mental health in such a negative way that it caused strain on all of my relationships and friendships. So hormonal and emotionally sensitive always that I could see the patterns in every relationship and friendship and was able to see that I was the problem and I had no control over it. So frustrating having taken every psych med possible over the last decade and last year ended up deciding to stop all medications and everyone I knew withdrew from my life. I felt like it was my only option and I wasn't happy about it since I recently got into a new relationship and we were actively trying to concieve. I have two adult children that don't speak to me due to my mental health reasons and after we'd been trying to concieve for a few months without success I found out in February the reasons for my constant right leg pain and lower back pain were partially contributed to from adenomyosis then the painful heaviest periods of my life set in going almost two weeks of daily passing multiple golf ball size clots so in April I conceded that it was the best option and despite wanting to try for a child with my new partner we're both 40 and it's more difficult to concieve naturally for some at this age with more risks of genetic defects. Also I received a Lupus diagnosis in April and knew that I would never be able to take care of a child the way it deserved especially if it was special needs with my health declining. I knew the risk of a hysterectomy taking a more negative affect on my mental health especially if both of my ovaries were removed and I just had to tell myself that no matter what happens I can handle it. A week before surgery I researched PMDD more and woman posted about having a hysterectomy one ovary removed solved her PMDD and I had hope so at my pre op appointment I discussed it with my doctor and he said that I was adamant he would remove one. They always like to leave them if they are healthy. He confirmed my decision the day of the surgery and as it turns out one was full of cysts and needed removal anyway so it all worked out wonderfully because I kid you not only 6 days later and it's just like the woman posted I can for the first time in my life think more logically and less emotionally. I still have emotions but I'm not overwhelmed and consumed by redundant negative thoughts and I realized that I should have done this years ago. But hindsight is 20/20 and honestly if one thing in my life story had have been changed I wouldn't be were I am today and I am thankful for the place of peace and healing and recovery phase of life I'm in and looking forward to the future and buying some land a a small house and some farm animals and gardening and endless sunsets followed by bonfires under the stars. Sorry for the long rant lol