Endometrial Ablation for annovulatory DUB? Any thoughts?

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

[who_is_this]

Did your endometrial biopsy show atypia?

"Patients with endometrial specimens that show atypia have about a 25 percent likelihood of progressing to carcinoma, compared with less than 2 percent in patients without atypia."

I'm having an EA on Thursday.  I figure it's worth a try, being a simple outpatient procedure.  I'm assuming you are past childbearing age?  I'm fairly close to menopause so I'm hoping this gets me through til then.  If not, then I'll resort to a hyst if needed.

[suzsen]

I was considering EA or Uterine Artery Embolization when I had really heavy periods that they thought were from an oversized uterus and fibroids.  An MRI finally diagnosed me with Adenomyosis, and the UAE wouldn't help that, so I had a hysterectomy.  They also took my cervix but left the ovaries.

Best thing I ever did.  No more bleeding, PMS is almost indetectible and before the surgery it was bad.  No negative side-effects, sexual or otherwise.  

I don't know your age or future plans, and I don't know if they advise pregnancy after EA or not.  Not to push hysto, but it solves the bleeding problem permanently if they leave your ovaries you're not in menopause.

[Thuney]

Hey--congrats on the good news, though!!  I know you still have concerns, but..Whoo Hoo on your good news!!