Treatment of menorrhagia due to dysfunctional uterine bleeding

Menorrhagia due to dysfunctional uterine bleeding can be treated medically or surgically. Medical therapy is associated with less morbidity and less profound effects on body image and fertility. Nonsteroidal anti-inflammatory drugs are the agents of choice for menorrhagia, although oral contraceptives, danazol and newer hormonal agents may also be used. Hysterectomy has been the surgical procedure traditionally used to treat menorrhagia, but excisional or "rollerball" endometrial resection may improve or cure this problem with a shorter hospital stay, a lower cost and less morbidity.