Geez, great choices, huh?

My initial thought would be to go with ablation . . . I would expect it to be "easier" on your body. Thinking hysterectomy would be a last resort kind of thing - but, I admit I know nothing about how that procedure goes these days. Maybe seek a second professional opinion?

Another thought - have you ever considered Traditional Chinese Medicine (TCM?) I have heard of women getting significant menstrual relief this way - I just don't have any personal experience or recommendations.