DUB is a diagnosis of exclusion. Only after ruling out a long list of conditions is it acceptable to diagnose DUB and treat as such. Such treatment often will usually fail and, unfortunately, may lead to an unnecessary hysterectomy. What is the Medical Treatment for True DUB DUB may be severe enough to cause anemia. What is the Surgical Treatment for DUB Surgery is indicated only after all the medical measures have failed.
Endometrial ablation is a first line option in surgical treatment.
The hysteroscope is inserted into the uterine cavity under general anesthesia. The endometrial lining is ablated using laser, electrical coagulation, or other techniques. A balloon inserted into the endometrial cavity through the cervix and filled with hot water is another technique to ablate the endometrium. Hysterectomy as a treatment for DUB should be considered only as a last resort. In my experience, treatment failure requiring hysterectomy is rare indeed.