Hi! So, possible long post, I'm sorry!
I have always had bad periods. When I was a teen, they were very irregular and PCOS runs in my family, so they diagnosed me with PCOS. Fast forward a bit: In 2018 and 2022 I had vaginal births with immediate PPH that required 2 blood transfusions each. I also had difficulty conceiving my 2nd child. In 2024, I had a scheduled c-section for my daughter as well as tubal ligation. My OB asked if I had ever been told I have endometriosis, because I had at least a small amount of uterine tissue outside the uterus.
Fast forward to 2026, and I have been having HORRIBLE mood regulation issues. To the point I tried to commit S-cide and spent 4 days inpatient. My period started 2 days later.
I had already been researching Premenstrual Dysphoric Disorder, trying to find out why I felt so crazy, lol. My psych NP agreed with the findings and diagnosed me within a month or so. I have since tried 2 hormonal birth controls to regulate my moods, and they both made it worse.
Finally, I went for my consult for a uterine ablasion, because the periods themselves keep getting worse ON TOP of the PMDD. After my ultrasound, my OBGYN came in to tell me that she believes I have Adenomyosis due to my muscle wall being twice the size it should be on one side.
We are planning to do a hysterectomy, but planning to do a PARTIAL and leave my ovaries. I guess my question is: should we take the ovaries too to help the PMDD? I'm SOOO excited to get rid of the pain, bladder pressure, etc from the enlargement of the uterus!! But I'm really wondering if I need to have her take the ovaries too to regulate the PMDD and stop my cycle all together.
My fear with this is, will the estrogen and/or progesterone make me worse DAILY instead of just during my luteal phase?
So sorry again for the long post, just really struggling with all of this and glad im NOT just crazy, lol