Treatment for irregular menstrual periods depends on the underlying cause. Treatment may include oral contraceptives. In some cases, dilation and curettage (D and C) may be required for persistent or severe menstrual bleeding.
Treatment options for irregular menstrual periods include:
- Oral contraceptives for irregular menstrual bleeding:
- To regulate the menstrual cycles
- Dilation and curettage (D and C) for irregular menstrual bleeding
For more information:
Metrorrhagia D and C
A woman with irregular menstrual periods may require a dilation and curettage, or D and C.
Dilation and Curettage
A dilation and curettage is a surgical procedure, during which the inner lining of the uterus is removed. Before this can be done, the cervix needs to be dilated. This allows for the passage of special surgical instruments that are used to remove the endometrium. One of these instruments is called a curette. It is used to gently scrape away the endometrial lining.
A sample of the material is sent to the laboratory for microscopic analysis. Recovery from a D and C is very rapid: you may have some vaginal bleeding and mild pain for about a day.
Risks of D and C include:
- Persistent bleeding
- Infection or endometritis
- Damage to the uterus
Metrorrhagia Questions For Doctor
The following are some important questions to ask before and after treatment for irregular menstrual periods.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Physicians from the following specialties evaluate and treat irregular menstrual periods:
Continue to Metrorrhagia Home Care
- Ballard L, Lyon DS, Jones JL. Inpatients with menometrorrhagia: etiologies, treatments, and outcomes. South Med J. 2000 Jun;93(6):571-4. 
- Browner-Elhanan KJ, Epstein J, Alderman EM. Evaluation of irregular menses in perimenarcheal girls: a pilot study. J Pediatr Adolesc Gynecol. 2003 Dec;16(6):365-8. 
- Haver MC, Locksmith GJ, Emmet E. Irregular menses: an independent risk factor for gestational diabetes mellitus. Am J Obstet Gynecol. 2003 May;188(5):1189-91.