Options other than IUD or Hysterectomy
Hi everyone,
I had an ultrasound 1.5 years ago and was suspected of having Adenomyosis and enlarged uterus. Also found 2 fibroids outside my uterine wall. I am constantly bleeding and passing clots. This has really impeded my quality of life including my sex life. I initially saw an NP for this and was basically told there was nothing more to do other than Mirena or remove the uterus. I’m currently 49 and in perimenopause. I basically did nothing hoping maybe it will just improve on it’s own. Well no surprise it hasn’t. It’s now been 1.5 years of just dealing with it. However I am no anemic, ferritin is low and I’ve come to the realization that if I don’t do anything to address the bleeding than it will be at the detriment of my overall health. I went to an OB/GYN for a consultation today and tomorrow I have a pelvic ultrasound again. The OBGYN mentioned possibly doing a Uterine Biopsy to make sure it’s not cancer. She also said the only solution to stop the bleeding is the Mirena IUD. I asked her why not just do HRT since I’m in Peri-menopause and she said that’s a totally separate thing and not used for Adeno. She says HRT consists of Estrogen and Progrsterone and therefore the Estrogen will make the Adeno worse. She said it’s used for women with a lot of menopause symptoms like hot flashes and insomnia. She seemed annoyed that I even brought it up.
Has anyone here gotten any other options other than an IUD?? I never did well on birth control and stopped it in my 20s. I also don’t want to stop my periods, which is what an IUD apparently does. Help! I’m so confused. There has to be something other than an IUD?? What about addressing the root cause of Adeno? Not just managing symptoms? Need advice. Also the uterine biopsy kind of scares me. Sounds painful!!