Hi Soumya, Thanks for the query. You mention that you have taken meprate and are bleeding heavily. The biopsy showed simple hyperplasia without atypia. These are common situations in women walking into Ob Gy clinics. You are in the perimenopausal period and many women experience heavy bleeding in this phase due to hormonal disturbances. You are having heavy periods despite progesterone. It would help immensely to know a detailed menstrual history. However, since endometrial biopsy does not show atypia, you may opt for the following procedures. 1. continue meprate thrice a day for next 2-3 months and observe for bleeding. 2. therapeutic curettage; in this the endometrial cavity is completely curetted and samples are sent for histopathology. Any report missed in biopsy may be revealed in this procedure. 3. Use of mirena: a hormone containing intrauterine system that releases progesterone locally controlling endometrial growth and also acting as a birth control measure. 4. endometrial ablation; the endometrium is destroyed using heat or cold or microwave etc hence bleeding stops. It is useful in women who want a uterus but do not want to get pregnant in future. A small future risk of endometrial carcinoma remains with this procedure. 5. hysterectomy; is removal of uterus [keeping the ovaries if possible. In your case maybe keeping only the right ovary and removing the left one which contains the cyst]. This takes care of bleeding as well as no risk of future uterine cancer. I suggest you discuss these with your gynecologist and then decide about the treatment that will best suit you. Hope I was able to help you. Thanks for using Health Care Magic. I would be happy to answer any further queries. Have a nice day. Dr. Madhuri Bagde Consultant Obstetrician and Gynecologist