Conversation: The conversation between human and AI assistant.
[|Human|] i am 33 and have a mitochondrial brain disorder or a biotin brain disorder take 800 mg of biotin daily which improved my brain ri 90% but i continue to have worse symptoms. My gait is poor and I fall weekly and use a walker. It started with a birth control shot at age 19 and I think it is related to my ovaries though tests are all normal. I have a heavy period lasting ten days. I am considering a hysterectomy instead or a tubal. When I had an IUD placed ten years ago is when I almost died (reaction to antibiotic or pain? Passed out 36 hours) and I want to reduce my risk of more complications and just be done with it. What should I be asking
[|AI|]  Hello, I understand your concern and would explain that the increased bleeding during menstrual cycle could be related to a hormonal imbalance.  For this reason, I recommend performing an abdominal ultrasound to examine your uterus and checking sex hormone plasma levels for any possible imbalances.  Only based on the above tests, you should discuss with your gynecologist on the best treatment option.  Hope I have answered your query. Let me know if I can assist you further.