A member asked:

P4 l4 a1 / perimenopausal dub / fractional currettage with cervix biopsy diagnosed what is the medical remeedi? this for my mother.

7 doctors weighed in across 2 answers
Dr. Scott Kramer answered

Specializes in Gynecology

Hormone & options: Depends on cause of heavy bleeding. If uterine biopsy benign then often due to poor ovulation (dysfunctional bleeding). So no order to female hormones and hence no order to uterine bleeding. Non-surgical options include: birth control pills, cyclic progestin, Lysteda (non-hormonal rx taken during period), & Mirena (levonorgestrel) iud. Endometrial ablation is 90-second treatment that cauterizes inside of uterus.

Answered 6/30/2014

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Dr. Jeff Livingston answered

Specializes in Obstetrics and Gynecology

Results benign?: I am assuming the d and c and biopsy results are benign. If so there are lots of options for peri menopausal bleeding you can discuss with the doctor. Lysteda is a nonhormone medication. Some benefit from birth control pills, patch or nuvaring. Mirena (levonorgestrel) iud can stop periods in some cases. Endometrial ablations are great options for peri menopausal bleeding. Some will just need a hysterectomy.

Answered 8/2/2021

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