instruction: hello doctor I need a consultation to decide on a health issue for the past four and a half years I have been suffering from menorrhagia and metrorrhagia due to a fibroid I tried ayurveda for three years and homeopathy for almost a year ayurveda did not work only with medication and they suggested to go take panchakarma treatment homeopathy started working for four months and the prolonged heavy bleeding stopped now the bleeding was there for almost five years on each and every day with few months stopped now and then at this juncture I just got an endometrium biopsy and an ultrasound to monitor the size of the fibroid my gynecologist suggested immediate hysterectomy to remove the uterus and my homeopathy doctor asked to try for three to four more months and if home treatment fails then go for surgery this gynecologist does not believe in any alternative systems I sent my reports to my ayurvedic doctor too and he said surgery is not needed the biopsy report says simple hyperplasia without atypia because of prolong non stop bleeding for years now I have anemia and went for infusion I need a second opinion on hysterectomy if it is needed or not in case if it is needed when can I go for it
output: hi failure of conservative treatment and dropping your hemoglobin level to that extent indicates the urgency of surgery where is your recent abc report if your level of hemoglobin is less than go dl then you are at the risk of several diseases affecting the cardiovascular system