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update! Well I have determined I'm going to have to get a hysterectomy the bleeding will not subside my whole abdomen area feels more heavy and pain most days so I'm scheduled for surgery later this month. I would just say if you do take the pellets and you do have all your plumbing uterus and ovaries I would highly be on guard that you are seeing a very qualified HRT specialist as estrogen and testosterone does build up in your body which causes the breakthrough bleeding I had three years of greatness on these pellets and it makes you think they're wonderful but then two years of bleeding daily and my gynecologist said I'm just very fortunate I don't have uterine cancer due to the over use of estrogen in my body. So in closing yes I miss the feelings of what I had when I started the pellets but no I'm not looking forward to this surgery or recovery just be very careful we are all looking for a quick fix and sometimes it's not the way to go. Remember these doctors do it to make money good luck!!