Why are you considering an ablation? How old are you, and are you absolutely sure you're finished having children? An ablation will cauterize the endometrium or uterine lining, and is usually done in perimenopausal women who have extremely heavy periods due to the natural imbalance that can occur as we approach menopause. Yes, I had an ablation; I was about 45 at the time and also had a large fibroid/myoma, so would have uncontrolled and heavy bleeding without any notice or prior indication, so there were several very bad and public bleeding incidences. My provider and I thought the ablation and removal of the myoma would be a good solution; however, I apparently also had undiagnosed endometriosis. I have always had extremely painful and difficult periods, but never the diagnosis of endometriosis. Post ablation, the bleeding episodes decreased, but the pain and discomfort increased each month until it was almost unbearable. I would absolutely discourage anyone who has a history of extremely painful periods from having an ablation. That said, if no endometriosis is present, an ablation will solve the bleeding problem. Be sure to google this and do your homework! Good luck!