Hi, @olivia22819 - I'm very close in age to you, only I don't have PMS anymore cause I had a hysterectomy with prolapse repair. I remember some intense PMS prior to the surgery, however.

This Mayo Clinic information on endometrial ablation may be of interest https://www.mayoclinic.org/tests-procedures/endometrial-ablation/about/pac-20393932

Does your doctor recommend this procedure for your case, then?