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as long as cancer has been ruled out, which I assume it has given your history of a D&C, an endometrial ablation is a short & non-invasive procedure that carries about a 97% satisfaction rate. Given your proximity to menopause I suppose your doctor is just bridging the gap by pushing the ablation. It is a nice procedure, but there is a chance of around 10% that it will fail and you'll have to undergo another procedure such as a hysterectomy. Another alternative would be the Mirena IUD, which also has an indication for menorrhagia.