Bi weekly periods

I need some advice, I have gone to my gynecologist 4 times in the past year regarding the following problems. Bi montbly periods, brown blood. She did a vaginal ultrasound and said my uterus had thicken walls and did a endometic cancer test. It came back negative. (thank goodness)

I am still have bi monthly periods, my ovaries hurt on and off ALL the time with severe cramps, mood swings I can't even get into the mood swings as well as NO SEX DRIVE at all right now. My husband worries I no longer want him.

The only thing my physican has offered is the Hormone replacement therapy and birthcontrol pills. Neither seems successful,and with my family history of breast cancer I am uncomfortable taking the HRT again. I've taken it twice.

I want to tell my Dr. do the hysterctomy I have had enough. I dont know what else she needs to decide to do this. I am 45 years old my children are grown.

What is your advice, should I consider switching physicians. How long does a person have to have problems with their periods before the physician will say enough is enough.

Any guidance is greatly appreciated.