Abnormal uterine bleeding is irregular bleeding from the uterus that is longer or heavier than usual or does not occur at regular time. There are many ways to help treat it. Some are meant to return the menstrual cycle to normal whereas others are used to reduce bleeding or to stop monthly periods. Each treatment works for some women but not others. Treatments include Hormones, such as a progestin pill or daily birth control pill. These hormones help control the menstrual cycle and reduce bleeding and cramping. Use of the levonorgestrel IUD, which releases a progesterone-like hormone into the uterus. This reduces bleeding while preventing pregnancy. Hysteroscopy to remove polyps or fibroids. Surgery, such as endometrial ablation or hysterectomy, when other treatments do not work. If one also has menstrual pain or heavy bleeding, one can take regular doses of a nonsteroidal anti-inflammatory drug such as ibuprofen. Dysfunctional uterine bleeding is abnormal uterine bleeding that, after examination and ultrasonography, cannot be attributed to the usual causes like structural gynaecologic abnormalities, cancer, inflammation, systemic disorders, pregnancy, complications of pregnancy, use of oral contraceptives or certain drugs. Treatment is usually with hormone therapy, such as oral contraceptives. Dysfunctional uterine bleeding, the most common cause of abnormal uterine bleeding, occurs most often in women above 45 and in adolescents. Nonhormonal treatments have fewer risks and adverse effects than hormone therapy and can be given intermittently, when bleeding occurs. They are used mainly for heavy regular bleeding. Hormone therapy is often tried first in premenopausal women. This therapy suppresses endometrial development, re-establishes predictable bleeding patterns and decreases menstrual flow. Hormone therapy is usually given until bleeding has been controlled for a few months.