I finally spoke to my GYN yesterday.  My pathology from my endometrial bx. was benign just showing disordered endometrial bleeding.  I still have to have a saline infused sonogram and he recommended that I should think about having an endometrial ablation or try BCP's again (I've bled right through them twice).  I asked him point blank if I was at an increased risk to develop uterine cancer and he said yes because of my estrogen induced annovulatory cycles and lack of progesterone production.  My question is if I have the ablation to control the DUB and I stop bleeding how will I know if I have any abnormality and that my lining of my uterus is not building up again?  I know the ablation will control the disordered bleeding but my hormonal imbalance will still continue?  Should I take some form of Progesterone so that doesn't happen?  Any thoughts on this.  My GYN said that although I will bleed either less or not at all from EA if I was to have symptoms of endometrial cancer it will bleed through the EA.  He also said the EA may give relief for a year or several years that many people need a repeat ablation in the future or ultimately a hysterectomy.  So bearing all this in mind I'm more confused than before.  Should I try another trial of BCP pills and see what happens or should I take may chances with the EA and be followed closely for signs and symptoms of endometrial cancer with ultrasounds and endometrial bx.?  Any advice would be welcomed.  Thanks Anna