Is it wise to have another ablation or should i have a hysterectomy? what other options do i have?

What about UFE?: Ablation burns the lining of the uterus and often doesn't work if the symptoms are due to fibroids (i.e. Doesn't treat the problem just the symptom). Uterine fibroid embolization allows women to get the symptom relief (exs. Heavy bleeding, pelvic pain, etc) completely without surgery and you get to keep your uterus. Even in women who don't want children, your uterus is still important to you !

Prob Hysterectomy: It can be very difficult if it's been more than a few months since your endometrial ablation to repeat it as there is often significant scarring obscuring the inside of the uterus. Also why do you feel you didn't respond? Persistent heavy bleeding? Bad cramps? If either are present and disruptive to you activities, then consider either a vaginal or laparoscopic hysterectomy. No hormonal change.