How my appointment went- play by Play

Waiting patiently to get this done and over with. Appointment time was 1:45. Still waiting in lobby.

2:25 still waiting... Oh wait here we go!

2:35 I am in a room and she got called to delivery! She will be back in 30 minutes! I will wait! Afterall I drove 30 minutes to get here. I'll take a nap!

3:15 In comes my Dr. Who of course looks like a million bucks and my husband calls the Hot Doctor! - She is. We discuss the erratic behavior of my monthly cycles and what we can do to help them help me be happy once again. Here's what she said:
1. We can do a birth control pill but you were already using the NuvaRing to control your cycles and it was making them worse.
2. We can try the Mirena IUD and hope it stops them all together.
3. We can do another ablation, D&C but it would need to be under anesthesia at the hospital.
Those are pretty much our options from this point.

Me: Which do you think is the better option?
Her: Well, I would say try the Mirena for 3 months and if it doesn't do the job we could still go ahead and do the procedure again. The problem is your AGE and it will be difficult to shut down the cycles completely. Ultimately if there were some abnormalities we could just do a hysterectomy and call it a day. However, your last ultrasound calculated your endometrial thickness at a 5.4. So, regardless of anything else we have to first do and endometrial biopsy.
Me: O god you said those words. I hate those things. Last time I had one I made it to the parking lot before puking. (stomach is in my chest here and if you know me you know there is no room up there for anything other than the girls that already reside there.)

So, we proceed to get it all done and over with. I'm left now trying to decide what the best option is. Do we continue with something or go with nothing? Any ideas? What would you do?