endometrial hyperplasia

I hope I picked the right forum for this—it’s said that endometrial hyperplasia is an estrogen issue.

I am 53, Caucasian, 5’7”, 180lbs, fit and strong. At 32, I had a vaginal birth, at 34 a miscarriage at 12 weeks, and at 36 another vaginal birth, although the second birth's twin was lost at 12 weeks (spotting and cramping, a second placenta taken over by the baby's placenta). For the first birth and the miscarriage, there was a lot of bleeding; for the second birth, I used homeopathic arnica and a midwife birth and didn’t over-bleed. Since not too long after the second birth, I’ve suffered wicked PMS, sometimes from ovulation to the start of the next cycle. Primary PMS symptoms have been constipation and Broken Brain (relentless irritability). Nothing has helped the PMS. The winter before last, I had two high-bleed cycles, but then less-bloody cycles would come at irregular intervals, sometimes skipping a couple of months. Two cycles ago, the moderate-to-light bleeding lasted five or six weeks. The most recent cycle started about four weeks ago and after moderate bleeding for a week or so, there was over-the-top bleeding for well over a week. There were times when I could blow through the heaviest-duty tampon in less than five minutes. Homeopathic Pulsatilla would remove the energy block so I could keep my eyes open, but it didn’t slow the bleeding enough. Towards the end, I discovered that ibuprofen helped slow the bleeding. I lost a huge amount of blood and did become anemic, according to blood tests done 2 ½ weeks ago. Nothing else stood out on the complete blood panel, so no thyroid issues or anything else deemed out of line. I finally stopped bleeding about a week and a half ago, although I’ve had rip-roaring PMS symptoms for the past week and am starting to spot again already. An ultrasound done two weeks ago, my first lower abdomen ultrasound ever, showed a modestly enlarged uterus without specific fibroids or tumors and some simple ovarian cysts “that aren’t concerning.” The diagnosis at this point is a thickening of the endometrium (endometrial hyperplasia) and the “standard of care” is a D & C and then a hysteroscopy to see if there’s anything of concern under the removed tissue, as well as evaluation of the removed tissue for malignancy. The procedure is scheduled for Tuesday, five days from now. The HERS Foundation site recommends ultrasounds at the end of two consecutive cycles, then if thickening is confirmed both times, they recommend the same course of action my doctor has recommended.

A D&C, I’m told, is a “simple procedure” (never mind that the out-of-pockets cost, 15% of the overall cost, is $1000), but I am worried about hemorrhaging during the operation and waking up with an ablated uterus, or worse, no uterus. My mother had heavy bleeding three decades ago and, of course, lost her uterus to the surgeon. Any thoughts, advice? Thank you in advance!