I've had sporadic bleeding/spotting for the past 4 years. My doctor has changed my birth control at least once a year or more, I took a 4 month break from birth control all together, I've had a uterine biopsy, ultrasound (2 fibroids were found) and the spotting continues. I will get about 7-10 days of no spotting after my period. After that, I will usually take 2 pills a day at least twice a week to control the bleeding. It's never overly heavy, sometimes doesn't require a tampon, but the bleeding if persistent.
So my nurse practitioner recommended a uterine ablation. Another doctor I saw recommended a hysterectomy, but I'd like to avoid that at all cost. After doing web research though, the ablation seems most successful for heavy heavy periods, but I haven't found any examples for persistent spotting. Any opinions if it would be applicable?