my nurse practitioner at the health dept. said mirena or endometrial ablation would be good, i m just not sure what i want to do. misstraci, i was dx with POTS when im 2005, at the time i was put on lexapro, metoprolol, and ortho novum (birth control). i went to the ER one night and he told me to quit taking the birth control, and prescribed me to take plavix for 3 or 4 days. i went to the ER because of severe POTS symptoms. i was about 34/35 i think at the time. other dr.'s have even asked me, why would he do that. i did have a positive d dimer 6 months ago, which is a blood test that indicated blood clot. i had a nuclear scan of my heart, and lung, but no blood clot there. so because of the positive d dimer i do worry about taking birth control, but i can't keep having these awful periods. i m 39 now, not sure if they change when you get older but for the past 2 years i ve been bleeding more than i ever have. i also have a cyst on my left ovary that hurts. wonder if the cyst can be removed without general surgery.