My doctor in St. Louis phoned this morning. She went over the ultrasound findings and report and she and other doctor agree that it looks like a large part of my monthly woes is due to a condition called Adenomyosis. Basically endometrial tissue that has grown into the uterine muscle along my scarline. Treatment for this can be hormonal manipulation. Oh fudge, I just can't seem to get away from hormonal manipulation. (slight pause for self pity - can't I ever do this thing right? Okay - I'm good now) I go on Lupron for several months. Fun fun fun. Or - of course, medically induced menopause. Again, she brought up another child issue - speak now or forever hold your peace. Yes, big swirl of emotions there. I am 40 years old and while another child wasn't completely on the horizon of possibilities - I wasn't ready to start facing menopause and absolute total end just yet. That is a wormy can of emotions that I need some time to work on. Particularly because hysterectomy thanks to my Bluterus/Bladderus is basically going to amount to me giving "birth" to my uterus via what would essentially be akin to another csection and a long complicated procedure in which we want to try and lose the "us" and retain the bladder.
I went with the Lupron option for now. I just need some relief for my present condition and more time.