Hi Maura, I'm glad you're looking for information on other options before you consider a hysterectomy.  It's not just a simple answer and should be the last resort, not the first.  It sounds like you are very low on progesterone.  That's what will help to stop the excessive bleeding and can keep it to once a month instead of every 10 days. Ask you doctor about using the bioidentical progesterone (Prometrium) to thin the lining of your uterus and get your periods back on track. Progesterone is also a mood enhancer.  Women often come back to see me at their 2 month follow-up, saying "I feel like myself again."  Good sleep also requires adequate progesterone.  Women who are low don't get deep, restorative sleep and often wake repeatedly through the night and have a hard time going back to sleep. If the progesterone doesn't get the bleeding stopped and then controlled, talk to your gynecologist about an ablation.  These are an outpatient procedure which basically does away with the inner lining of the uterus and will effectively lessen and often completely stop bleeding.  If these methods fail, you may need to then consider a hysterectomy, but educate yourself beforehand so you know what to expect and the questions you will want answered.  My previous posting on Bioidentical Hormones may be helpful with information about the progesterone and hormone therapy in general. I know this situation is extremely frustrating, but the best thing you can do is to find a provider who is experienced in managing menopause and willing to spend time and work with you to a safe and satisfactory resolution.  Good luck, Sandy