I'm 38 years old with 3 kids (all c-sections).  I always had a normal, on-time cycles (every 25 days) until the birth of my last child when I had a tubal ligation.  Since then my period continues to be on time but is EXTREMELY heavy (soak an ultra tampon every hour) with very large clots.  Flow is very irregular -- flooding one day, barely anything for next 12 hours, back to flooding, etc.  No pain.  Extended period (up to 15 days).  Needless to say, I'm anemic.  I have some cramping around the time I would ovulate but that's it.  Only other pain is that I have extreme pain around the vaginal opening when removing tampons (even when soaked).  (Feels like I'm trying to remove glass from my vagina).

Blood tests came back within the normal range, although I am on the low end of progesterone (always had to take supplements during pregnancy).  Ultrasound showed one ovarian cyst.  Gyn wants to do an ablation, but this feels hormonal to me (the irregular flow, emotional, facial hair growth, loss of hair from head).

Any ideas what this could be????