I encourage you to seek care at Mayo Clinic as they have an EXCELLENT gynecology department and will be able to help you; however, I totally understand your costs concerns. At least get another opinion or seek another gynecologist in your own town. Doctors sometimes are rushed when seeing patients and we leave without getting our questions & concerns addressed. Make a list of all your questions… none of them are stupid or silly… make sure you get them addressed before you leave and write your answers down as you get them answered. Don’t be afraid to take your time with the MD. That is what you are paying for. I had a D&C and it was a piece of cake. I too may be facing a hysterectomy but even though you have probably heard of scary things about it I have spoken with lots and lots of women who say it is the best thing that ever happened to them. God Bless.