Dear hobit4u: According to research used to write this month's blog on endometrial ablation (EA), you would have a good chance of a successful outcome for an EA.
Physicians from the Mayo Clinic reviewed the outcomes of 816 women who had an EA. Factors which seemed to predict successful stopping of all bleeding ("amenorrhea") included: age 45 or older (menopause would be kicking in within 5 years or so), a thin uterine lining of less than 4 mm, normal size of uterine cavity (less than 9 cm), and use of NovaSure type rather than heated balloon. In your specific case you are very close to age 45, and the lining of your uterus should have been very thin from the years of Depo Provera use.
Patient characteristics linked to treatment failure were: age younger than 45 years, five or more pregnancies (leads to larger uterine size), prior tubal ligation, and history of bad menstrual cramps. Again, in your specific case, you had your tubal at the time of the EA rather than years before.
Dear CIERA (love your name!): Sometimes women will notice discharge from one or both nipples. This prompts concern, especially if she has not recently breast fed. In your case, this discharge is NOT linked to not having breastfed your son.
Generally we tell women that bilateral, white or clear discharge , which is only present with nipple stimulation (eg sex foreplay), is likely to be "normal." Being on birth control pills can sometimes enhance normal breast discharge. Certain psychiatric medications—especially the antipsychotics —can initiate nipple discharge. Spontaneous secretions can be prompted by a pituitary problem, or hypothyroidism. Both low thyroid and elevated prolactin (from the pituitary gland) can be checked for using simple blood tests
The most concerning nipple discharges are those which are red/bloody, unilateral, and coming from just one or two ducts. If you were my patient I would check a sample of the discharges for invisible blood (using the fecal blood card). I would do a careful breast exam. If needed the two tests for thyroid and pituitary can be ordered. So get it checked out even though it is likely that you will be told it is OK.