Pax- I know that and agree. What I said was that there is a risk of prolapse after a hysterectomy - whichever way it's done- because it depends on the woman's body not only the skill of the surgeon. Yes, vaginal procedures are harder because there is less space to work in and only women with certain conditions are suitable for vag, hysters.
Costa You are entitled to your opinion but as Kewcumber said, and I agree with her, it's important for women reading here (and who may not ever post) to know the facts and up to date medical options.
Hysterectomies for heavy periods have declined hugely- because other options are safer , quicker and often as effective. As Kewcumber said, it's very 'old school' drs who reach for the scalpel without offering other treatments first.
There are women who have hysterectomies who have no problems- great. Some women are damaged internally and do have 'horror' stories - either through sheer bad luck or cack handed drs! The risks of a major operation are always there and it's not as simple as if 'you don't need it' (for producing a baby) then whip it out.
At 48 the OP is likely to only have periods for another 3-4 years. One Mirena would last that long. An ablation would probably last that long.
The risks of the Mirena include weight gain and moodiness for some women - and it can easily be removed if this is the problem. It's hardly a 'horror'. If it pain on insertion that is worrying you OP then you could have a GA.
Sorry if this sounds like a rant but it's important that we stick to facts with medical operations and not only personal experiences.