Treatments for abnormal uterine bleeding generally fall into one of three categories: medications such as hormones, surgery or taking a wait-and-see approach. Most women can be successfully treated with medication, but you should discuss your treatment options with your doctor.
Typically, young women with abnormal uterine bleeding are not treated unless their symptoms become very severe—for instance, they have heavy bleeding that leads to anemia. However, in cases in which the goal is to regulate the woman’s menstrual cycle, treatments options include:
- Birth control pills or progesterone-only pills, which block ovulation
- Intrauterine devices (IUD) that release progesterone
- Having the woman take ibuprofen or naproxen before her period starts, which can help reduce cramping and blood loss
For cases in which blood loss leads to anemia, iron supplements may also be prescribed, and women who wish to become pregnant may be given medicine to stimulate ovulation.
If severe symptoms persist and normal treatments are not successful, doctors may recommend endometrial ablation or resection (they destroy or remove the uterine lining), a hysterectomy (to remove the uterus altogether) or dilation and cutterage (to remove polyps and diagnose certain conditions).