Herbie - it's great that they are going to help you. If you do have adenomyosis and a fibroid then these things can be treated so they don't give ongoing problems - THIS DOES NOT MEAN YOU HAVE ENDOMETRIAL CANCER. If you have
prolonged endometrial thickening, then this can
‘sometimes' give rise to an increased risk of cancer but the risk is very small - by treating these problems now you are reducing your risks.
I suspect they may suggest you have either progesterone pills or have a Mirena fitted as this would reduce the build up of the lining and would hopefully shrink the fibroid. The Mirena is particularly successful at helping problematic bleeding and fibroids and would also allow you to add some oestrogen at some stage if flushes become a real bother. These treatment will reduce the risk of endometrial cancer occurring in the first place. Your poor mother didn't have the option of treatment and, at the time, the erratic and heavy bleeding may have been quite a bother. You are not your mother (our mother's are very good at dismissing our menopause problems as they didn't get any help) and by getting help now you may well be preventing all sorts of problems over the next few years - so you are doing the right thing.
Get clued up on what treatments they may offer you so you can make an informed choice and this may also relieve you anxiety.
Here is the info on the Mirena:
Mirena is a levonorgestrel (type of progestogen) releasing system which sits inside the womb, gradually releasing the progestogen into the womb. It is licensed in the UK and Ireland as a contraceptive agent, for treatment of heavy periods and, from August 2004, also for the progestogen component of HRT. It can be used in both the perimenopause and postmenopause and it is particularly useful for:
Persistent progestogenic side effects from systemic HRT despite changes in type and route of progestogen.
When contraception is required along with HRT in the perimenopause.
When withdrawal bleeds on sequential HRT are heavy, after investigation if indicated. (see WHEN TO BE REFERRED )
With Mirena in place, systemic estrogen alone can be taken as the Mirena provides adequate protection of the womb lining and the estrogen dose and route can be tailored to meet the individual's needs.
Progestogenic absorption throughout the body is minimal so reducing progestogenic side effects. The effect of Mirena on the womb lining can significantly reduce bleeding and when used as part of an HRT regimen, in time, 30 to 60% of women have no bleeding at all. Although Mirena used for contraception is licensed for 5 years, the license for use for the progestogen part of HRT is currently 4 years. Though this talks about the Mirena as part of HRT, it is a favourite with many gynaes because it sorts out so many issues regarding bleeding, fibroids etc.
The Peri menopause phase can be very challenging and frightening when we don't understand what is going on, so by getting really clued up this can really help to relieve the stress and worry and allows us to make informed choices about how we are going to treat what happens.
Here is another article that I think is essential reading:
https://www.menopausematters.co.uk/magazine/pdf/Article%20-%20Perils%20of%20the%20Perimenopause.pdfDg x