Many ways. 1st: evaluation- blood test for hormones, us for fibroids, hysteroscopy for polyps, endometrial biopsy for abnormal cells. 2nd: treatment- ocp if not smoker, progesterone, iud, remove fibroid or polyp if present, meds such as lysteda, endometrial ablation, uterine artery embolization and finally- hysterectomy.
You have options. Abnormal periods need evaluation; sonogram, lab tests. Non-surgical options include: birth control pills. Lysteda (non-hormonal rx taken during period), Mirena (levonorgestrel) iud. Minimally invasive options: endometrial ablation (in-office), hysteroscopy polyp removal or fibroid resection; and only if these treatments fail then consider hysterectomy - vaginal or laparoscopic if possible.