Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am very uncomfortable as my stomach is distended and feel pressure inside. I also feel slightly sick from this pressure and dont have an appetite.  I  I have constant vaginal bleeding.  I am under a consultant who has suggested a full hysterectomy but I dont want one if I can help it.  I also had a endometrial ablation last year in July but started bleeding constantly again in December until present.  I also suffered a heavy bleed and had to call out of hours drs to request noriestherone tablets to help stop bleeding.  But now I am starting to bleed through these tablets and it not stopping the bleeding completely.
[|AI|]  HI. You have a failed treatment for vaginal bleeding with ablation and medicines. This is the major indication for hysterectomy. As you have a history of stomach distension and feeling pressure inside I would suggest such a patient first to undergo CT scan to rule out cancer of the uterus. Go for tests of blood, urine and fitness for surgery and anesthesia. The best treatment for you is Hysterectomy.