I'm 26, and recently married. I've been with my husband since age 18. We have both agreed on a children lifestyle. I've also suffered from abnormally long periods from age 13. I would bleed for 90+ days at a time with barely two weeks between. With painful, debilitating cramps, and unusually heavy flow. I was first on birth control at 15. My doctor put me on Yasmin. This helped with the cramping and some of the bleeding, though I would still have month long flows. My dr had me take 2 a day with no spacers, and my flow regulated to 10 day breakthroughs. But, I begain my decade long battle with migraines. I switched docs and my new dr put me on the deposit shot for two years. Still suffered from migraines about once a month, gained 45 pounds, and became emotionally unstable. After the shot I tried out the Nuva ring. This helped calm my migraines a bit, but lead to rather heavy cramping. I went back to oral contraceptives, this time on ortho lo. Bleeding for months at a time again. My new doctor upped my dose and put me on higher hormones, taking Trinessa. The bleeding is regulated to 10 days. Cramping is still pretty debilitating, but only for about 5-6 of those days. However, my migraines are becoming more and more frequent over the last 3 years that I've been on this birth control. They hit me hard and interfere with work.
Would voluntary sterilization or endometrial ablation be a better option for my situation? I'm desperate, and don't plan on building a family anyway.