First of all - thank you to the ones who sent me PM's after my last post. I hadn't checked this board lately but I do appreciate everyone who's been concerned for me.
I decided to go with the ablation. I don't want to go through Lupron treatment because the chances of the pain being anything but gynecological in nature are so incredibly small that it would be far too much negative side effects for something that's not an actual solution to the problem. My new gyn, once I told him what I'd decided, told me he would have done it as well had he been in my situation - he said he couldn't believe I'd passively dealt with periods this bad for so long!
So, on August 20th, I'll be going in for a balloon ablation. Afterwards I'll just be using condoms as contraception - I'm back on the pill just for this month to try and control my period and it's hell... absolute hell... I can't even express what a raging <admin. snipped - please do not try to fool the censor>, sick to my stomach, crying, exhausted, miserable shell of a person I become on these hormones! And then in December, when I'm back home for the holidays, if the ablation seems to have worked, then I'll go ahead and have a tubal done.
I have to admit I am concerned about the long-term effects of this procedure. It seems as if not many women are truly happy with its results - especially younger ones like myself - and I am concerned about the potential for causing future adenomyosis or anything else. The way I see it is this - the insurance company would never approve a hyst at this point, so I don't really have a choice. But knowing that doesn't help my worry. It would be hard to make my pain and bleeding much worse, but... I want a solution, not just another maybe.
I know some of you feel that it's not something that someone my age should do, but I am so relieved to have a chance at living normally again. When I called to schedule the surgery, I thought for sure I would cry when I hung up... instead, I started laughing with relief. I hope it works!!
Thanks to all of you for all of your support and advice and information this summer. It's been difficult but I feel like a stronger woman because of it.