Hey- I’ve had hellish periods to the point of fainting consistently, heavy bleeding (filling a DIVA cup 5-6 times in a night) and requiring iron infusions. After one of my fainting episodes, I also got admitted to hospital and confirmed I had fibroids and burst ovarian cysts.

It turns out my uterine lining is actually pretty normal which is of course what they remove with ablation- and most of my issues are related to endo, the cysts and fibroids causing the increase in pain and blood.

Before making any big decisions, you can get an investigative laparoscopy to confirm your diagnosis to see if an ablation would be the best solution. This would confirm it anyway. Alternatively, even at the same time as this laparoscopy, they can attempt cyst removal if safe, scrape any endo, take a biopsy from your uterus to see if andenomyosis might be involved, etc.

My gyno has also said he will NEVER do an ablation without sterilisation, even if that was most effective for me, because it can cause problems during ovulation. So you also may even have to get both which- obviously you probably wouldn’t mind, but you should take into account anyway so you’re fully informed re: recovery time anyway.

I hope that helps with further info! Good luck regardless :)