I've never met ANYONE who has regretted having her hysterectomy. I have met quite a few whose only regret was that they didn't do it years sooner.
I have had the uterine ablation. I've had endometriosis, and also with the HUGE periods, lots of cramping, BIG clots, surprise "Ooops!" breakthrough bleeding that was horrible. I also passed uterine casts, which is an interesting process. I'd never tell this but to another nurse, but when that stupid cast passes, it closes off your cervix whilst it's going through... when the first part of it goes through, it often causes projectile menstruation. Ewwwwwww
I'd been fighting having the hysterectomy for almost 20 years now. I'm just very stubborn and I didn't want the surgery and I didn't want to have to take that much time off work. I'm the main breadwinner in my family. Yes, a LOT of pain, and yes, a LOT of sanitary pads, maxi and super-maxi tampons and a few adult diapers for heavy days. I was always the one who was the supply for people with one of those "ooops" moments - I had them in my pocket, I had them in every desk I ever went near, in my purse and a HUGE supply in my locker. LOL
I had the ablation on Halloween. I imagine it's a very unpleasant procedure to be involved in (burning tissue and all...) but I had no problems what-so-ever. A little "I don't care juice" in the holding, it took ahold just as I transferred over to the Op table. Woke up in recovery, just *this* much nausea - got some ice chips and did the deep breathing through the nausea. As soon as I was awake, I took my clothes into the bathroom, because I was determined to pee before I left that room, and they let me go home as soon as I peed!
Couple of weeks of cramps - NOTHING compared to endometriosis, and the first day passed some black-tinged fluid. Then it was clear for 2 weeks, and then it was tinged with blood. I still have some discharge, and I've had 2 teeny tiny periods that I wouldn't have even considered a "spot" before this procedure.
I would actually think it would be a good thing to do before you go for the big H.
When I was deciding whether or not to have it, I read that approx 85% of the women who have it NEVER have another period! You can't beat that combination, can you?
It might solve your problems, and save you all that post-op pain. It might not, of course, and you'd still have to have the H, but at least you would know you've tried it, first.
Let us know how you do!