I am 38 and have had heavy periods for most of my 30 s, after blood work and an ultrasound when it all started, I was told my uterus was fine and given the options, one of which was low dose birth control pill. I have been on that for about 5 years now or so, it has made my periods less, less bleeding and shorter, they are much more regular. Since I m not sure I want to stay on the birth control pill right through until menopause I m now seeing a specialist to decide that or other options, IUD, Ablation or Hysterectomy. I m being sent for another ultrasound, blood work, physical and endometrial biopsy. This biopsy scares me, I know it s to check for abnormal cells, cancerous cells. Is this just a necessary test before the other procedures I mentioned above or is it possible I could have had endometrial cancer all along and that s what s causing the heavy bleeding, I m very worried.