Is a d & c needed with heavy menstruation after not having menstruation for 8 months?

Birth control : A D&C has risks and should only be performed if either there is a specific cause for the bleeding suspected by sonogram such as a polyp, hyperplasia or fibroid or if other methods to control bleeding have failed - ie birth control pills. IUD or Provera (medroxyprogesterone). The majority of heavy cycles are due to hormonal imbalance - burth control pills and NSAIDs are first line treatments and should be tried first