Has anyone had their hysterectomy denied because there are to slim bandaide options but u know they won't work

the dr. said i could use the provera for my heavy bleeding and and multiple periods a month and horrible pain and also cysts or the mirena iud. i have used the depo provera before a few yrs ago and it made me whacky and gave me horrible periods for months straight with no break.i was a pharmacy tech for 5 yrs and i argued with this dr and i told him it is the same thing just a pill form i can't take it. he said it isn't depo,i felt like calling him an idiot.medroxyprogesterone is what it is no matter what fom. i don't know what to do. i just got off the phone with my insurance and they said we haven't got back the approval yet it hasn't gone thru clinical yet.i know they are gonna deny because of that.i don't want a bandaide for a problem either in reference to the mirena iud plus i heard of such of a high failure rate.i have researched these 2 things the failure rate is is greater than the benefits.plus its only a bandaide fix.i don't want to do this till menopause when i could have a permanant fix. i talked to my insurance about it and they said more than likely they will go with the least invasive i told them that i can't take the provera and for my own beliefs i won't do the mirena iud and it is just a bandaide it has a high failure to it.i wasn't talking to the clinical nurse just to someone else with my insurance.i called to talk to my pcm's nurse about getting a 2nd opinion and she said they are gonna work on it.she said lets she what comes thru on tricare.i also put a call in thru my gyn i want to try to get it thru his thick head about this but i don't think i can.my pcm's nurse also said maybe we can get my pcm to talk to him about it too.i can't get my medical records that show where i took the depo cause the air force base where i was at lost my medical records so i am screwed on that part.i just don't know what to do right now.i am so frustrated.