Hi, thanks for asking in Healthcare Magic.
Irregular and prolonged bleeding is called menorrhagia and can occur around menopausal period. Hysteroscopic endometrial ablation
destroys up to 5mm of endometrium (lining of uterus) and controls menorrhagia. Similarly D&C is effective in around 30% of people.
containing intra uterine contraceptive
device) reduces blood loss in about 97% of women having menorrhagia. Mirena is as effective as D&C and hysteroscopy
Both hysteroscopy and D&C are done only if hormonal therapy fails to control excessive bleeding. Progesterone should be given for 4 to 6 weeks prior to Hysteroscopy for thinning of endometrium and if this is not followed, then bleeding will recur after the procedure.
Mirena will reduce bleeding only after 3 months. So if the bleeding persists you can take a combination of Mafenemic acid and Tranexamic acid
after consulting your treating Doctor.
I hope that this is useful to you.