For the past year (perhaps longer but only tested every 3 months this year) my Ferriten level has been at a 4 despite iron supplementation (when able to tolerate) They have done a complete upper/lower GI work up and everything was normal, stated it was probably from heavy menstrual cycles. I had a transvag ultrasound compelted and found a fibroid (3cm) in left side of uterus. I was referred to OB/GYN and went for the appt yesterday. He told me that according to US, I also had a thickened lining of the uterus (1.3cm) and a larger than normal uterus. He told me that I will have a number of options (birth control, mirena, ablation, or hysterectomy) he told me that I may want to seriously consider a hysterectomy because over time the fibroid will grow and cause discomfort and I already have serious side effects from the heavy bleeding. He took a sample of the uterine lining, told me not to panic and wait for the results to see if it showed polyps. I have a few questions 1) what could the uterine tissue samples show and what does it mean to have enlarged uterus and lining 2)Is it premature to discuss hysterectomy already? (I am 33, done having kids) 3) I would really prefer not to be on the pill, my husband had a vasectomy so that I wouldn't have to deal with side effects I have had in past from birth control. any suggestions from ppl that may have gone through this would be appreciated? The doctor told me that the side effects from hysterectomy are not that bad as long as they leave the ovaries. I am in a little bit of a panic and not sure what route would be best.