Denied surgery that I believe I NEED because of my age

Hello all. I am at a loss for words right now and haven’t been able to even eat, just sleep all day because I can’t feel anything emotionally. I am an 18 year old demiboy and for the past 4 years have been dealing with horrible menstrual issues. 6 month long periods, soaking through overnight pads in 30 minutes, golf ball sized clots, pain. I saw a gyno 4 years ago who didn’t do any exams and just put me on birth control. The birth control was giving me high blood pressure so I started seeing my current nurse practitioner and she put me on nexplanon. She knows of my gender dysphoria, pain even when I’m not on my periods, I have pain almost every day. She sent me to a doctor to talk about laproscopy. That appointment was today. The doctor came in and when I told her of all my issues she said she wouldn’t be comfortable doing the lap because I could just get an IUD instead. I told her I want to have surgery because after being on BC for 4 years it makes me feel like shit, and even the nexplanon has made me feel like shit and made my migraines worse. I asked if she would be willing to do an ablation. She asked if I wanted kids.
I replied with “I never even want to be sexually active, I have so much pain down there and dysphoria. I never want kids” she just said “I know you think you don’t want kids but I’d only do this treatment if you’re older”
Why even ask ‘do you want kids’ if you’re going to answer for me.
She told that the IUD and painkillers everyday is the only treatment she’s willing to give me and then ended our appointment.
I want to disappear, this was my only hope to live normally for a chance and it was crushed. I don’t want to be on hormones because it gives me horrible migraines and makes me moody. I just don’t know what to do. Should I pursue surgery somewhere else? And if so, does anyone know LGBT friendly, AFAB, gynos in Vilnius Lithuania?

Edit: these interactions past and current happened in Atlanta USA. I am just moving to Lithuania in a few weeks

Denied surgery that I believe I NEED because of my age